Vanleeuw, P
Calozet, Y
Eucher, Philippe
[UCL]
Rubay, Jean
[UCL]
Schoevaerdts, Jean-Claude
[UCL]
Thirty-five patients (10 men and 25 women) with a preoperative diagnosis of cardiac myxoma have undergone cardiac surgery since 1964 at the University of Louvain. The mean age of the patients was 49 (range 20-75) years. The most commonly encountered symptoms were: dyspnoea 49%; thoracic pain 26%; cough and peripheral embolism 17% each; stroke and preoperative atrial fibrillation 14% each; flutter 11%; expectoration, acute pulmonary oedema, syncope and transient ischaemic attack 6% each; and pulmonary embolism 3%. The different locations were: left atrium 66%; right atrium 26%; both atria 3%; right ventricle 3%: and retrohepatic vena cavae 3%. Septal implantation was found in 66%. Histological examination confirmed 28 myxomas but three 'tumours' were thrombi, two haemangiomas, one rhabdomyosarcoma and one liposarcoma. The follow-up has now reached 2829 months with an average of 81 months per patient (range 0-342 months). Three patients died early (9%) and there were four late deaths (11%). No cases were familial. Surgical resection is the correct treatment for cardiac myxomas and gives good long-term results.
Bibliographic reference |
Vanleeuw, P ; Calozet, Y ; Eucher, Philippe ; Rubay, Jean ; Schoevaerdts, Jean-Claude. Cardiac myxoma.. In: Cardiovascular surgery (London, England), Vol. 1, no. 6, p. 654-6 (1993) |
Permanent URL |
http://hdl.handle.net/2078.1/24601 |