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Clinical experiences of cardiac myxoma

 Song-hyeon Yu  ;  Sang-hyun Lim  ;  You-sun Hong  ;  Kyung-jong You  ;  Byung-chul Chang  ;  Meyun-shick Kang  ;  Kyung-Jong Yoo 
 YONSEI MEDICAL JOURNAL, Vol.47(3) : 367-371, 2006 
Journal Title
Issue Date
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Female ; Follow-Up Studies ; Heart Neoplasms/physiopathology ; Heart Neoplasms/surgery* ; Humans ; Male ; Middle Aged ; Myxoma/physiopathology ; Myxoma/surgery* ; Postoperative Complications ; Treatment Outcome
Myxoma ; surgical resection ; heart
Although cardiac myxoma is rare, it is the most common primary cardiac tumor. Seventy-four cases of cardiac myxoma that were surgically treated in our center between August 1980 and February 2005 were retrospectively reviewed. The mean patient age was 50.4 ± 15.0 (range 7-80) years, and 53 patients (71.6%) were female. The most common preoperative symptom, occurring in 44 patients, was dyspnea. The interval from onset of symptoms to surgery was 9 months. Seventy cases were located in the left atrium, 3 in the right atrium and 1 in the right ventricle. The myxoma in the right ventricle could not be resected completely, due to severe infiltration. Cardiopulmonary bypass and aortic cross clamp times were 100.4 ± 37.1 and 64.8 ± 29.8 minutes, respectively. There were no hospital deaths, and 7 patients suffered from postoperative complications including atrial fibrillation in 2 cases. During the follow up period (mean 105.7 ± 73.6 months), there was no tumor recurrence and 6 late deaths that were not related to the underlying tumor. There was no evidence of tumor growth in the cases with incomplete resection during the 14-month follow-up. In conclusion, in this study there was no recurrence of tumors after complete resection and surgical resection is considered to be the curative method of treatment for cardiac myxoma.
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1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Meyun Shick(강면식)
Yoo, Kyung Jong(유경종) ORCID logo https://orcid.org/0000-0002-9858-140X
Yu, Song Hyeon(유송현)
Lim, Sang Hyun(임상현)
Chang, Byung Chul(장병철)
Hong, You Sun(홍유선)
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