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

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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.

	Abstract

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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.

	References

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