medigraphic.com
ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2008, Number 1

<< Back Next >>

Cir Gen 2008; 30 (1)

Cardiac myxomas. Eleven-year experience in the National Medical Center

Rodríguez–Ortega MF, Díaz QG, Archundia GA, Flores CO, Espinosa BO, Gómez ML

Language: Spanish
References: 25
Page: 21-25
PDF size: 135.20 Kb.


ABSTRACT

Objective: To describe our experience in the treatment of intracardiac myxomas.
Setting: Third level health care hospital.
Design: Retrolective, observational, descriptive, and transversal study.
Statistical analysis: Percentages as summary measures for qualitative variables.
Patients and Methods: We reviewed the clinical records of patients with antecedents of intracardiac myxomas covering the period from January 1995 to December 2006, and analyzed the following variables: age and gender, symptomatology, functional class, localization, size, surgical treatment, as well as postoperative evolution.
Results: Thirty-four patients (24 women), mean age of 45.9 years (range from 1 to 75 years) were subjected to intracardiac myxomas surgery in an 11-year period. Duration of symptoms was from 2 to 8 months. In all cases, diagnosis was made by means of echocardiography, finding 29 myxomas in the left atrium and 5 in the right atrium. Surgical treatment consisted of simple resection and, in some cases, placement of an autologous pericardium graft. In all cases, the myxoma diagnosis was confirmed by means of histopathologic studies.
Conclusion: The diagnosis and surgical treatment, together with the improvement in diagnostic methods (transthoracic and esophageal echocardiogram) in the last years have led to a higher survival rate and a decrease in morbidity.


REFERENCES

  1. Guadalajara JF. Tumores cardiacos. En: Guadalajara JF. Cardiología. 4a edición; México, D. F. Ed. Méndez Cervantes. 1991: 1023-47.

  2. Reynen K. Cardiac myxomas. N Engl J Med 1995; 333: 1610-7.

  3. Peachell JL, Mullen JC, Bentley MJ, Taylor DA. Biatrial myxoma: A rare cardiac tumor. Ann Thorac Surg 1998; 65: 1768-9.

  4. Massetti M, Babatasi G, Le Page O, Bhoyroo S, Khayat A. Modified biatrial approach for the extensive resection of left atrial myxomas. Ann Thorac Surg 1998; 66: 275-6.

  5. Chakfe N, Krets JG, Valentín P, Geny B, Petit H, Popescu S, et al. Clinical presentation and treatment options for mitral valve myxoma. Ann Thorac Surg 1997; 64: 872-7.

  6. Pucci A, Gagliardotto P, Zanini C, Pansini S, di Summa M, Mollo F. Histopathologic and clinical characterization of cardiac myxoma: review of 53 cases from a single institution. Am Heart J 2000; 140: 134-8.

  7. Schoen FJ. El corazón. En: Cotran RS, Kumar V, Collins T, Eds: Patología estructural y funcional. 6a Ed. Madrid. McGraw-Hill-Interamericana, 2000: 571-629.

  8. Gabe ED, Rodríguez Correa C, Vigliano C, San Martino J, Wisner JN, González P, et al. Mixomas cardiacos: correlación anatomoclínica. Rev Esp Cardiol 2002; 55: 505-13.

  9. Bhan A, Mehrotra R, Choudhary SK, Sharma R, Prabhakar D, Airan B, et al. Surgical experience with intracardiac myxomas: long-term follow-up. Ann Thorac Surg 1998; 66: 810-3.

  10. Selkane C, Amahzoune B, Chavanis N, Raisky O, Robin J, Ninet J, et al. Changing management of cardiac myxoma based on a series of 40 cases with long-term follow-up. Ann Thorac Surg 2003; 76: 1935-8.

  11. Meyns B, Vancleemput J, Flameng W, Daenen W. Surgery from cardiac myxoma: a 20-year experience with long-term follow-up. Eur J Cardiothorac Surg 1993; 7: 437-40.

  12. Sellke FW, Lemmer JH Jr, Vandenberg BF, Ehrenhaft JL. Surgical treatment of cardiac myxomas: long-term results. Ann Thorac Surg 1990; 50: 557-61.

  13. Bjessmo S, Ivert T. Cardiac myxomas: 40 years’ experience in 63 patients. Ann Thorac Surg 1997; 63: 697-700.

  14. Coley C, Lee KR, Steiner M, Thompson CS. Complete embolization of a left atrial myxomas resulting in acute lower extremity ischemia. Tex Heart Inst J 2005; 32: 238-40.

  15. Badui Dergal E, Cordero E, Soberanis N, Verdin R, Arguero R. Cardiac myxoma: a report of 23 cases. (in Spanish) Gac Med Mex 1992; 128: 245-52.

  16. Remes-Troche JM, Zúñiga J, Rebollar V, Hernández P, Narváez R, Téllez-Zenteno JF, et al. Mixoma de la válvula mitral con embolización a circulación posterior. Descripción de un caso y revisión de la literatura. Rev Neurol 2001; 33: 729-31.

  17. Demir M, Akpinar O, Acarturk E. Atrial myxoma: an unusual cause of cardiac infarction. Tex Heart Inst J 2005; 32: 445-7.

  18. Marvasti MA, Obeid AI, Potts JL, Parker FB. Approach in the management of atrial myxoma with long-term follow-up. Ann Thorac Surg 1984; 38: 53-8.

  19. Murphy Mc, Sweeney MS, Putman JB Jr, Walker WE, Frazier OH, Ott DA, et al. Surgical treatment of cardiac tumors: a 25-year experience. Ann Thorac Surg 1990; 49: 612-8.

  20. Moreno MFL, Lagomasino HA, Mirabal RR, López BFH, López BOJ. Mixoma auricular izquierdo recidivante. Arch Cardiol Mex 2003; 73: 280-3.

  21. Shinfeld A, Katsumata T, Westaby S. Recurrent cardiac myxoma: seeding or multifocal disease? Ann Thorac Surg 1998; 66: 285-8.

  22. Guhathakurta S, Riordan J. Surgical treatment of right atrial myxoma. Tex Heart Inst J 2000; 27: 61-3.

  23. Yazici M, Ozhan H, Tetik O, Kinay O, Ergene O. Isolated large right atrial myxoma manifested by syncope. Tex Heart Inst J 2004; 31: 324-5.

  24. Jiménez-Navarro MF, Gavilán JC, Melero JM, Rodríguez BI, Bermúdez F, Porras C, et al. Mixoma de gran tamaño en la aurícula derecha. Rev Esp Cardiol 2001; 54: 399-401.

  25. Surabhi SK, Fasseas P, Vandecker WA, Hanau CA, Wolf NM. Right atrial myxoma in a patient presenting with syncope. Tex Heart Inst J 2001; 28: 228-9.




2020     |     www.medigraphic.com