Operative management and outcomes in patients with myxomas: A single-center experience.

Autor:	Alhasso AA; Department of Cardiac Surgery, Ibn Albittar Cardiac Surgeon, Baghdad, Iraq., Ahmed OF; Mosul Cardiac Center, Mousl, Iraq., Mohammed-Saeed DH; College of Medicine, University of Sulaimani, Sulaimani, Iraq.; Scientific Affairs, Smart Health Tower, Sulaimani, Iraq.; Sulaimani Centre for Heart Disease, Sulaimani, Iraq., Kakamad FH; College of Medicine, University of Sulaimani, Sulaimani, Iraq.; Scientific Affairs, Smart Health Tower, Sulaimani, Iraq.; Kscien Organization, Sulaimani, Iraq., Almodhaffer SS; Department of Cardiac Surgery, Ibn Albittar Cardiac Surgeon, Baghdad, Iraq., Zaid ZA; Department of Cardiac Surgery, Ibn Albittar Cardiac Surgeon, Baghdad, Iraq., Abdullah HO; Scientific Affairs, Smart Health Tower, Sulaimani, Iraq.; Kscien Organization, Sulaimani, Iraq., Ali RK; Surgery Department, Shar Hospital, Sulaimani, Iraq., Kakamad SH; Kscien Organization, Sulaimani, Iraq., Omar DA; Kscien Organization, Sulaimani, Iraq.; Medical Laboratory Technology, Shaqlawa Technical College, Erbil Polytechnic University, Erbil, Iraq., Abdalla BA; Scientific Affairs, Smart Health Tower, Sulaimani, Iraq.; Kscien Organization, Sulaimani, Iraq., Mohammed SH; Kscien Organization, Sulaimani, Iraq., Mustafa MQ; Kscien Organization, Sulaimani, Iraq.; Department of Medical Analysis, Tishk International University, Erbil, Iraq.
Jazyk:	angličtina
Zdroj:	Frontiers in surgery [Front Surg] 2023 Apr 19; Vol. 10, pp. 1084447. Date of Electronic Publication: 2023 Apr 19 (Print Publication: 2023).
DOI:	10.3389/fsurg.2023.1084447
Abstrakt:	Background: Cardiac myxoma is a rare cardiac tumor that may be asymptomatic or can cause embolization or intracardiac obstruction, leading to heart failure, sudden cardiac death, and arrhythmia. This study aims to report an 11-year experience of a single center in the management of cardiac myxoma. Method: This study is a single-center retrospective case series. Eighty cases of cardiac myxoma were collected in Ibn Albitar's specialized center for cardiac surgery. Transthoracic echocardiography was used to make the preoperative diagnosis in all patients. The surgeries were undertaken through the standard approach of a median sternotomy. All four cardiac chambers were thoroughly explored for additional myxomas. The major objective of the operations was complete tumor resection. Result: The mean age of the patients was 46.3 years. Females (67.5%) were predominant over males (32.5%). Shortness of breath was the most common symptom (86.25%). The left atrium was the most affected site (83.75%), followed by the right atrium (13.75%). Coronary artery bypass grafting was required as the secondary or associated intervention in 19 (23.75%) cases. The recurrence rate was 11.25%, with a mortality rate of 3.75%. Conclusion: Recurrence and tumor embolism are risks of surgical intervention for myxoma. Good preparation using transthoracic echocardiography as a diagnostic tool and standard median sternotomy to complete resection of the tumors can decrease the rate of recurrence, embolism, and even mortality. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2023 Alhasso, Ahmed, Mohammed-Saeed, Kakamad, Almodhaffer, Zaid, Abdullah, Ali, Kakamad, Omar, Abdalla, Mohammed and Mustafa.)
Databáze:	MEDLINE
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