title: Cardiac myxomas: experience over one decade.
abstract: BACKGROUND
  This single-center study reviews our experience with cardiac myxomas over the past decade.
  
  
  METHODS
  Sixty-two patients (23 male) with median age 38 years (range: 8 to 69 years) underwent excision of primary or recurrent cardiac myxomas between 2000 and 2009. Patients were evaluated with echocardiography preoperatively and annually postoperatively. Follow-up is current for all survivors (range 13 months to 10 years).
  
  
  RESULTS
  Fifty-two patients had left atrial myxomas, seven right atrial, two biatrial, and one right ventricular. Three cases were familial. Maximum number of myxomas in a single patient was four. Symptom duration ranged from two to eight months. Two early deaths were due to low cardiac output and embolic cerebrovascular accident; one late death was due to a noncardiac cause. Actuarial survival was 96.8 ± 1.8% at 10 years. Most patients were asymptomatic following surgery. No sporadic, multiple, or biatrial myxomas recurred. Recurrence occurred in two familial cases, both with single, left atrial myxoma. Freedom from reoperation was 98.4 ± 1.3% at five years and 96.8 ± 1.8% at 10 years.
  
  
  CONCLUSIONS
  Biatrial involvement or multiplicity of myxomas does not mandate recurrence. Surgical excision has excellent overall survival and freedom from reoperation rates, but annual follow-up including echocardiographic surveillance is recommended as familial cases tend to recur.
authors.affiliation: Department of CTVS, GB Pant Hospital, New Delhi, India. drnikhilp@gmail.com
authors.forename: Nikhil Prakash
authors.initials: NP
authors.lastname: Patil
authors.forename: Nilanjan
authors.initials: N
authors.lastname: Dutta
authors.forename: Subodh
authors.initials: S
authors.lastname: Satyarthy
authors.forename: Muhammad Abid
authors.initials: MA
authors.lastname: Geelani
authors.forename: Deepak
authors.initials: D
authors.lastname: Kumar Satsangi
authors.forename: Amit
authors.initials: A
authors.lastname: Banerjee
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004452:Echocardiography; D005260:Female; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000000981:diagnostic imaging / Q000601:surgery*; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D055815:Young Adult