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James V. Richardson
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Donald B. Doty
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Ann Thorac Surg 1979;28:354-358
© 1979 The Society of Thoracic Surgeons

Articles

Surgical Treatment of Atrial Myxomas: Early and Late Results of 11 Operations and Review of the Literature

James V. Richardson, M.D., Berkeley Brandt, III, M.D.*, Donald B. Doty, M.D., J.L. Ehrenhaft, M.D.

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA.

Accepted for publication November 29, 1978.

* Address reprint requests to Dr. Brandt, Division of Thoracic and Cardiovascular Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242.

Eleven patients underwent surgical excision of atrial myxomas during a 15-year period, with no hospital deaths. The operation consisted of excision of the tumor with a generous portion of atrial septum or wall. Patch reconstruction of the atrial septum was required in most patients. There were 2 late deaths (14 and 121 months after operation). Late recurrences have been reported in other series but no recurrences were diagnosed in any of the patients in this series reexamined by echocardiography 7 to 156 months (mean, 48 months) after operation. Late functional results were excellent (78%, New York Heart Association Class I). The pertinent literature is reviewed.




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