HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Uberto Bortolotti Maurizio Rubino Francesco Santini Alessandro Mazzucco Aldo Milano Ugolino Livi Gaetano Thiene Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Bortolotti, U. Articles by Gallucci, V. Search for Related Content PubMed PubMed Citation Articles by Bortolotti, U. Articles by Gallucci, V.

Ann Thorac Surg 1990;49:449-453
© 1990 The Society of Thoracic Surgeons

---

Articles

Surgical excision of intracardiac myxomas: A 20-year follow-up

Departments of Cardiovascular Surgery, Cardiology, and Pathology, University of Padova Medical School, Padova, Italy

Accepted for publication November 20, 1989.

^_* Address reprint requests to Dr Bortolotti, Istituto di Chirurgia Cardiovascolare, Università di Padova, via Giustiniani, 2, 35128 Padova, Italy.

Since November 1968, 54 patients have undergone excision of an intracardiac myxoma, which was located in the left atrium in 46 (85%), in the right atrium in 6 (11%), and in the right ventricle in 2 (4%). There were 35 female and 19 male patients with a mean age of 48 ± 14 years (range, 7 to 68 years). Four patients were asymptomatic; the others were seen mostly with exertional dyspnea, palpitation, signs of systemic illness, and syncopal episodes. Before operation, embolic episodes occurred in 13 patients with a left atrial myxoma. There were two early (3.7%) and two late deaths (3.8%). Actuarial survival at 20 years is 91% ± 4%, and most of the current survivors are asymptomatic at a mean follow-up or 6.5 ± 5 years (range, 0.2 year to 20 years). Noninvasive reevaluation was performed with echocardiographic studies in 44 patients and 24-hour electrocardiographic monitoring in 34. No instances of tumor recurrence were observed, and there was a low incidence of major supraventricular arrhythmias late postoperatively. We conclude that excision of intracardiac myxomas is curative and long-term survival is excellent. The transseptal approach provides adequate exposure and allows complete removal of the tumor regardless of its location.

This article has been cited by other articles:

				T. Bossert, J. F. Gummert, R. Battellini, M. Richter, M. Barten, T. Walther, V. Falk, and F. W. Mohr Surgical experience with 77 primary cardiac tumors Interact CardioVasc Thorac Surg, August 1, 2005; 4(4): 311 - 315. [Abstract] [Full Text] [PDF]

				M. A. Padalino, C. Basso, O. Milanesi, V. L. Vida, G. S. Moreolo, G. Thiene, and G. Stellin Surgically treated primary cardiac tumors in early infancy and childhood J. Thorac. Cardiovasc. Surg., June 1, 2005; 129(6): 1358 - 1363. [Abstract] [Full Text] [PDF]

				M. Guden, B. Akpinar, M. U. Ergenoglu, E. Sagbas, I. Sanisoglu, and U. Ozbek Combined Radiofrequency Ablation and Myxoma Resection Through a Port Access Approach Ann. Thorac. Surg., October 1, 2004; 78(4): 1470 - 1472. [Abstract] [Full Text] [PDF]

				L.-M. Stevens, H. Lapierre, M. Pellerin, I. El-Hamamsy, D. Bouchard, M. Carrier, and L. P. Perrault Atrial versus biatrial approaches for cardiac myxomas Interact CardioVasc Thorac Surg, December 1, 2003; 2(4): 521 - 525. [Abstract] [Full Text] [PDF]

				E. Acebo, J. F. Val-Bernal, J. J. Gomez-Roman, and J. M. Revuelta Clinicopathologic Study and DNA Analysis of 37 Cardiac Myxomas: A 28-Year Experience Chest, May 1, 2003; 123(5): 1379 - 1385. [Abstract] [Full Text] [PDF]

				A. M. Parsons and F. C. Detterbeck Multifocal right atrial myxoma and pulmonary embolism Ann. Thorac. Surg., April 1, 2003; 75(4): 1323 - 1324. [Abstract] [Full Text] [PDF]

				K. Tasdemir, O N. Emirogullari, H. Ceyran, R. Asik, A. Yasim, K. Tasdemir, O N. Emirogullari, H. Ceyran, R. Asik, and A. Yasim Intracardiac Masses Asian Cardiovasc Thorac Ann, December 1, 2000; 8(4): 378 - 380. [Abstract] [Full Text] [PDF]

				B. Ugurlu, O. Oto, H. Okutan, K. Kutluk, E. Silistreli, N. Sariosmanoglu, E. Hazan, A. Kargi, B. Ugurlu, O. Oto, et al. Stroke and Myxoma Asian Cardiovasc Thorac Ann, June 1, 2000; 8(2): 130 - 133. [Abstract] [Full Text] [PDF]

				P.-J. Ko, C.-H. Chang, P. J. Lin, J.-J. Chu, F.-C. Tsai, C. Hsueh, and M.-W. Yang Video-assisted minimal access in excision of left atrial myxoma Ann. Thorac. Surg., October 1, 1998; 66(4): 1301 - 1305. [Abstract] [Full Text] [PDF]

				Y.-S. Chang, C.-H. Chang, P. J. Lin, J.-J. Chu, H.-P. Liu, H.-C. Hsieh, F.-C. Tsai, and M.-W. Yang Video-assisted cardiac surgery for intracardiac tumors Eur J Cardiothorac Surg, October 1, 1998; 14(Supplement_1): S160 - S165. [Abstract] [Full Text] [PDF]

				C. J. A. M. Zeebregts, M. A. A. M. Schepens, and P. J. Knaepen Extended vertical transatrial septal approach for the removal of left atrial myxoma Eur J Cardiothorac Surg, January 1, 1998; 13(1): 90 - 93. [Abstract] [Full Text] [PDF]

				S. S. Kabbani, M. Jokhadar, R. Meada, H. Jamil, F. Abdun, A. Sandouk, and F. Nabhani Atrial myxoma: Report of 24 operations using the biatrial approach Ann. Thorac. Surg., August 1, 1994; 58(2): 483 - 487. [Abstract] [PDF]

				D. R. Jones, R. C. Hill, A. E. Abbott Jr, R. A. Gustafson, and G. F. Murray Unusual location of an atrial myxoma complicated by a secundum atrial septal defect Ann. Thorac. Surg., May 1, 1993; 55(5): 1252 - 1253. [Abstract] [PDF]

				F. H. Edwards, D. Hale, A. Cohen, L. Thompson, A. T. Pezzella, and R. Virmani Primary cardiac valve tumors Ann. Thorac. Surg., November 1, 1991; 52(5): 1127 - 1131. [Abstract] [PDF]