title: Surgical resection of cardiac myxoma-a 30-year single institutional experience.
abstract: BACKGROUND
  Primary cardiac tumors are rare and myxoma constitutes the majority. The present study summarizes our 30-year clinical outcomes of surgical myxoma resection.
  
  
  METHODS
  Between January 1986 and December 2015, 93 patients (30 men, 63 women; mean age, 54.7 ± 16.6 years) underwent surgical myxoma resection. The most common origin site was the left atrium. Surgery was performed via a biatrial approach in 74.2%, atrial septotomy through right atriotomy in 17.2%, and left atriotomy only in 8.6%. Mean myxoma size based on longest length was 4.73 ± 1.92 cm (range, 1.2-11.0 cm).
  
  
  RESULTS
  The mean follow-up duration was 9.9 ± 7.8 years (range, 0-29 years). In-hospital mortality was 3.2%. The most common postoperative complication was atrial fibrillation (4.3%). The 5-, 10-, and 30-year survival rates were 92.9%, 87.2%, and 75.5%, respectively. Recurrence occurred in two patients (2.1%), which were detected at 20 and 79 months after the first surgery, respectively.
  
  
  CONCLUSIONS
  Long-term survival after myxoma resection was excellent and recurrence was rare. Based on our experience, surgical method did not affect the outcome.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine, 42, Jebong-ro, Dong-gu, Gwangju, 15772, South Korea.
authors.forename: Kyo Seon
authors.initials: KS
authors.lastname: Lee
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine, 42, Jebong-ro, Dong-gu, Gwangju, 15772, South Korea.
authors.forename: Gwan Sic
authors.initials: GS
authors.lastname: Kim
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine, 42, Jebong-ro, Dong-gu, Gwangju, 15772, South Korea.
authors.forename: Yochun
authors.initials: Y
authors.lastname: Jung
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine, 42, Jebong-ro, Dong-gu, Gwangju, 15772, South Korea.
authors.forename: In Seok
authors.initials: IS
authors.lastname: Jeong
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine, 42, Jebong-ro, Dong-gu, Gwangju, 15772, South Korea.
authors.forename: Kook Joo
authors.initials: KJ
authors.lastname: Na
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine, 42, Jebong-ro, Dong-gu, Gwangju, 15772, South Korea.
authors.forename: Bong Suk
authors.initials: BS
authors.lastname: Oh
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine, 42, Jebong-ro, Dong-gu, Gwangju, 15772, South Korea.
authors.forename: Byung Hee
authors.initials: BH
authors.lastname: Ahn
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Chonnam National University School of Medicine, 42, Jebong-ro, Dong-gu, Gwangju, 15772, South Korea. waytogosun@gmail.com.
authors.forename: Sang Gi
authors.initials: SG
authors.lastname: Oh
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005544:Forecasting; D006325:Heart Atria; D006338:Heart Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D006352:Heart Ventricles; D017052:Hospital Mortality / Q000639:trends; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality; D056910:Republic of Korea / Q000453:epidemiology; D012189:Retrospective Studies; D015996:Survival Rate / Q000639:trends; D055815:Young Adult
keywords: Benign cardiac tumor; Myxoma