Giant Cardiac Myxoma: Report of 3 Cases

Authors

  • Apirak Chetpaophan Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkhla University, Hatyai, Songkhla 901 10, Thailand
  • Chareonkiat Rergkliang Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkhla University, Hatyai, Songkhla 901 10, Thailand
  • Vorawit Chittitavorn Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkhla University, Hatyai, Songkhla 901 10, Thailand
  • Prasert Vasinanukorn Division of Cardiovascular and Thoracic Surgery, Department of Surgery, Faculty of Medicine, Prince of Songkhla University, Hatyai, Songkhla 901 10, Thailand

Abstract

Background: Primary cardiac tumors are rare and atrial myxoma is the most common cardiac tumor. With the advent of cardiopulmonary bypass surgical removal of the tumor becomes possible, particularly of the intracardiac tumor. This artical reported the satisfactory outcome in surgical management by biatrial approach technique in 3 cases of giant left atrial myxoma that presented with clinical manifestation of congestive heart failure.

Materials and Methods: Retrospective data collection was carried out from medical records of all patients diagnosed with cardiac myxoma, who were admitted to Songkhlanakarind hospital, between August 2002 and July 2003. Surgical resection was performed as soon as possible by the biatrial approach technique.

Results: Three patients (2 Males, 1 Female), aged 42 to 50 years (mean, 44.6 years) presented with clinical manifestation of congestive heart failure were diagnosed by Echocardiography to have myxoma. All were in the left atrium (100%). The biatrial surgical approach was performed since it allowed total resection of the atrial myxoma along with its pedicle. There had been no postoperative morbidity and mortality.

Conclusion: Early surgical removal of cardiac myxoma should be performed as soon as possibility to prevent embolic complications. Our recent experience in 3 such cases with the biatrial approach, in allowing total resection of the myxoma, had low morbidity and mortality.

References

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

2. King TW. On simple vascular growths in the left auricle of the heart, Lancet 1845; 2: 428-9,

3. Centofanti P, Rosa ED, Deorsola L, Actis Dato GM, Patane F, Torre ML, et al. Primary cardiac tumors: early and late results of surgical treatment in 91 patients. Ann Thorac Surg 1999;68:1236-41.

4. Jones DR, Warden HE, Murray GF, Hill RC, Graeber GM, Cruzzavala JL, et al. Biatrial approach to cardiac myxomas: A 30-year clinical experience. Ann Thorac Surg 1995; 59:851-6.

5. Soeparwata R, Poeml P, Schmid C, Neuhof H, Scheld H. Interleukin-6 plasma levels and tumor size in cardiac myxoma. J Thorac Cardiovasc Surg 1996; 112: 1675-77.

6. Ravikumar E, Pawar N, Gnanamuthu R, Sundar P, Cherian M, Thomas s. Access minimal approach for surgical management of cardiac tumors. Ann Thorac Surg 2002; 70:1077-9.

7. Misawa Y, Saito T, Fuse K, Sohara Y. Endoscope-assisted superior septal approach for resection of left atrial myxoma. J Thorac Cardiovasc Surg 2002; 123: 357-8.

8. Crafoord C. Discussion of: Glover RP. Late results of mitral commissurotomy. In: Lam CR, editor. Henry Ford Hospital international symposium on cardiovascular surgery: studies in physiology, diagnosis and techniques: proceedings of the symposium; March 1955; Henry Ford Hospital, Detroit (Michigan), Philadelphia: WB Saunders; 1955. p. 202-11.

9. Alkhulaifi AM, Horner S, Pugsley WB, Sturridge MF. Recurrent left atrial myxoma. Cardiovasc Surg 1994; 2: 232-6.

10. Attar S, Lee Y-C, Singleton R, et al, Cardiac myxoma. Ann Thorac Surg 1980; 29: 397- 405.

11. Walton JA Jr, Kahn DR, Willis PW II. Recurrence of a left atrial myxoma. Am J Cardiol 1972; 29: 872-6.
12. McCarthy PM, Piehler JM, Schaff HV. The significance of multiple recurrent and "complex" cardiac myxomas. J Thorac Cardiovasc Surg 1986;91: 389-99.

13. Gray IR, Williams WG. Recurring cardiac myxoma. Br Heart J 1985;53: 645-9.

14. Alkhulaifi AM, Horner S, Pugsley WB, Sturridge MF. Recurrent left atrial myxoma. Cardiovasc Surg 1994; 2: 232- 6.

15. Castells E, Ferran V, Octavio de Toledo MC. Cardiac myxomas: surgical treatment, long-term results and recurrence. J Cardiovasc Surg 1993; 34: 49-53.

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

17. Bjessmo S, Ivert T, Cardiac myxoma: 40 years' experience in 63 patients. Ann Thorac Surg 1997; 63: 697-700.

18. Reynen K. Frequency of primary tumor of the heart. Am Cardiol 1996;77: 107-8.

19. Leonard M. Cardiac tumor: diagnosis and management. Heart 2001;85:218-22.

Downloads

Published

2003-12-29

How to Cite

1.
Chetpaophan A, Rergkliang C, Chittitavorn V, Vasinanukorn P. Giant Cardiac Myxoma: Report of 3 Cases. Thai J Surg [Internet]. 2003 Dec. 29 [cited 2024 Nov. 23];24(4):101-4. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/242903

Issue

Vol. 24 No. 4 (2003): October - December

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.