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Anil Bhan
Ramji Mehrotra
Shiv Kumar Choudhary
Rajesh Sharma
Balram Airan
Arkalgud Sampath Kumar
Panangipalli Venugopal
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Ann Thorac Surg 1998;66:810-813
© 1998 The Society of Thoracic Surgeons

Original articles: Cardiovascular

Surgical experience with intracardiac myxomas: long-term follow-up

Anil Bhan, MCha, Ramji Mehrotra, MCha, Shiv Kumar Choudhary, MCha, Rajesh Sharma, MCha, Dorairaj Prabhakar, DMa, Balram Airan, MCha, Arkalgud Sampath Kumar, MCha, Panangipalli Venugopal, MCha

a Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi, India

Accepted for publication April 17, 1998.

Address reprint requests to Dr Bhan, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110 029, India

Background. Myxomas are the most common benign intracardiac tumors. This report summarizes our 20-year experience with these tumors.

Methods. Sixty-six patients (25 male) with a median age of 39 years (range, 6 to 70 years) underwent surgical excision of primary or recurrent intracardiac myxomas during the years 1976 to 1996. Symptom duration ranged from 2 to 8 months. There were 55 left atrial myxomas, 10 right atrial myxomas, and 1 biatrial myxoma. Three of the patients were in one family. The surgical approach comprised complete wide excision.

Results. There were two early deaths. Late follow-up is 89% (57/64) complete. There was one late death, which was not due to a cardiac cause. Echocardiography at a mean follow-up of 66.9 months (range, 7 to 241 months) showed no recurrence of sporadic myxomas. However, 2 of the 3 patients with familial myxomas had recurrence.

Conclusions. Surgical excision of atrial myxoma gives excellent short-term and long-term results leading to eventual cure of nonfamilial myxomas. However, familial myxomas retain a strong tendency to recur even 20 years after excision.




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