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Ann Thorac Surg 1990;50:557-561
© 1990 The Society of Thoracic Surgeons

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Articles

Surgical treatment of cardiac myxomas: Longterm results

Division of Cardiothoracic Surgery, Department of Surgery, and Division of Cardiology, Department of Internal Medicine, The University of Iowa College of Medicine, Iowa City, Iowa USA

Accepted for publication April 20, 1990.

^_* Address reprint requests to Dr Lemmer, Division of Cardiothoracic Surgery, Department of Surgery, The University of Iowa Hospitals and Clinics, Iowa City, IA 52242.

Between 1965 and 1988, 22 patients underwent 24 operations for cardiac myxomas. Two patients had the complex myxoma syndrome. Mitral valve replacement was required at initial operation in 2 patients. One patient died perioperatively, and 5 others died subsequently. The 16 surviving patients recently underwent evaluation at a mean duration of 9 years after operation. Ten are asymptomatic and 6 have New York Heart Association class II symptoms. Nine patients continue to be employed. Eleven are in sinus rhythm, 3 have permanent pacemakers, and 2 have chronic atrial arrhythmias. Echocardiography showed atrioventricular valve insufficiency in 3 patients and reduced contractility in 4, but no new tumor recurrences. The long-term prognosis of this relatively large group of patients with cardiac myxomas has been good. Patients without the complex myxoma syndrome had no recurrence, whereas 2 patients did require reoperation for mitral valve replacement. Long-term disability and chronic arrhythmias have been infrequent, and functional status and employability of these patients have been very good.

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