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Ann Thorac Surg 1972;13:450-457
© 1972 The Society of Thoracic Surgeons


Articles

Clinical Experience with Cardiac Myxoma

Harold A. Collins, M.D.*, Isabella S. Collins, M.D.

From the Departments of Surgery and Anesthesiology, Vanderbilt University Medical Center, Nashville, Tenn.

* Address reprint requests to Dr. Harold Collins, Vanderbilt University Medical Center, Nashville, Tenn. 37203.


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Eight patients ranging in age from 16 to 77 years had excision of a cardiac myxoma. All patients had symptoms varying in duration from 1 to 35 years. Three of the tumors arose in the right atrium, four in the left atrium, and one in the left ventricle. Angiocardiography provided an accurate diagnosis in 7 patients. Surgical removal was accomplished in each patient with the use of cardiopulmonary bypass. One patient died postoperatively due to low cardiac output, and another died with pneumococcal septicemia. All survivors have significantly improved.

While surgical treatment of a cardiac myxoma can be highly successful, major emphasis should be placed on early diagnosis.


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We are indebted to the late William C. Manion, M.D., who reviewed the pathology material in this series.

Presented at the Eighteenth Annual Meeting of the Southern Thoracic Surgical Association, Tampa, Fla., Nov. 4-6, 1971.


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  1. Bahl OP, Oliver GC, Ferguson TB, Schad N, Parker BM. Recurrent left atrial myxoma Circulation 1969;401:673.
  2. Becker LC, Conti CR. Left atrial myxoma: Evidence of tumor movement by apexcardiogram Chest 1971;60:280.[Medline]
  3. Boss JH, Bechar M. Myxoma of the heart: Report based on four cases Am. J. Cardiol. 1959;3:823.[Medline]
  4. Columbus MR. De Re Anatomica. Vol. XV. Venice: Beuilacque; 1559. pp. 269.
  5. Crafoord C. Panel discussion on late results of mitral commissurotomyIn: Lam CR, editor. International Symposium on Cardiovascular Surgery: Studies in Physiology, Diagnosis and Techniques. (Henry Ford Hospital, Detroit, Mich.). Philadelphia: Saunders; 1955. pp. 202.
  6. Gerbode F, Kerth JW, Hill DJ. Surgical management of tumors of the heart Surgery 1967;61:94.[Medline]
  7. Glasser SP, Bedynek JL, Hall RJ, Hopeman AR, Treasure RL, McAllister HA, Esterly JA, Manion WC, Sanford HS. Left atrial myxoma: Report of a case including hemodynamic, surgical, histologic and histochemical characteristics Am. J. Med. 1971;50:113.[Medline]
  8. Goodman JS, Schaffner W, Collins HA, Battersby EJ, Koenig MG. Infection after cardiovascular surgery: Clinical study including examination of antimicrobial prophylaxis N. Engl. J. Med. 1968;278:117.[Medline]
  9. Goodwin JF. The spectrum of cardiac tumors Am. J. Cardiol. 1968;21:307.[Medline]
  10. Hattler Jr. BG, Fuchs JCA, Cosson R, Sabiston Jr. DC. Atrial myxoma: An evaluation of clinical and laboratory manifestations Ann. Thorac. Surg. 1970;10:65.[Free Full Text]
  11. Heath D. Pathology of cardiac tumors Am. J. Cardiol. 1968;21:315.[Medline]
  12. Heath D, MacKinnon J. Pulmonary hypertension due to myxoma of the right atrium Am. Heart J. 1964;68:227.[Medline]
  13. Marpoie DGF, Kloster FE, Bristow JD, Griswold HE. Atrial myxoma, a continuing diagnostic challenge Am. J. Cardiol. 1969;23:597.[Medline]
  14. Oliver Jr. GC, Missen GAK. A heavily calcified right atrial myxoma Guys Hosp. Rep. 1966;115:37.[Medline]
  15. Prichard RW. Tumors of the heart: Review of subject and report of 150 cases Arch. Pathol. 1951;51:98.
  16. Wolfe SB, Popp RL, Feigenbaum H. Diagnosis of atrial tumors by ultrasound Circulation 1969;39:615.[Abstract/Free Full Text]



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