Ten-year evaluation of cardiac myxoma in Shahid Modarres Hospital

Majidi Tehrani, Seyed Masoud; Ghaderi , Hamid; Foroughi , Mahnoosh; Hekmat, Manouchehr; Beheshti Monfared, Mahmoud; Tatari , Hassan; Mirhosseini , Seyed Mohsen; Hossein Ahmadi, Zargham; Ansari Aval, Zahra; Mirjafari, Seyedeh Adeleh

Volume 72, Issue 2 (May 2014) Tehran Univ Med J 2014, 72(2): 87-95 | Back to browse issues page

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Majidi Tehrani S M, Ghaderi H, Foroughi M, Hekmat M, Beheshti Monfared M, Tatari H, et al . Ten-year evaluation of cardiac myxoma in Shahid Modarres Hospital . Tehran Univ Med J 2014; 72 (2) :87-95
URL: http://tumj.tums.ac.ir/article-1-5938-en.html

Ten-year evaluation of cardiac myxoma in Shahid Modarres Hospital

Seyed Masoud Majidi Tehrani¹

, Hamid Ghaderi ^*

², Mahnoosh Foroughi³

, Manouchehr Hekmat¹

, Mahmoud Beheshti Monfared³

, Hassan Tatari¹

, Seyed Mohsen Mirhosseini³

, Zargham Hossein Ahmadi⁴

, Zahra Ansari Aval⁴

, Seyedeh Adeleh Mirjafari⁵

1- Department of Cardiovascular Surgery, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Cardiovascular Research Center, Resident of Cardiovascular Surgery, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. , hghaderi@razi.tums.ac.ir
3- Cardiovascular Research Center, Resident of Cardiovascular Surgery, Shahid Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4- Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Department of Cardiovascular Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5- Physician and Researcher, Brain and Spinal Injury Research Center (BASIR), Tehran University of Medical Sciences, Tehran, Iran.

Abstract: (34898 Views)

Background: Primary cardiac tumors are rare tumors which should be operated urgently. In this study, cardiac myxoma have been evaluated from diagnosis until dis-charge in a 10 years period and then results including presenting symptoms, approach to the patients were compared with similar study in this center a decade ago. Methods: Patients who underwent operation for myxoma from year 2003 until 2013 in the Shahid Modarres Hospital were included in this study. Results: Eighteen patients included in the study, 11 female and seven male. Patients’ ages were in the range of 13 to 76 years (mean 53 years). Mean time from diagnosis to operation was 5.8 days and mean time from surgery to discharge was 8.6±6.1 days. Most common presenting symptoms were first clinical presentation in four patients. In all patents echocardiography was the main diagnostic modality. In addition to trans thoracic echocardiography (TTE), in five patients TEE was used and in 13 patients coronary angiography was used to rule out concomitant coronary artery disease. 94.4% of all tumors (17 cases) were primary cardiac tumors and only one tumor (5.6%) was recurrent. In 16 patients (88.9%) tumor were found in the Left Atrium (L.A) and in one case, tumor was found in both atria and in another case, tumor was in the ventricle. After tumor excision, atrial septum was repaired primarily in seven cases (38.9%) and with pericardial patch in 9 cases. One patient underwent concomitant coronary artery bypass graft (CABG) and another patient underwent concomitant pulmonary valve repair. 14 patients (77.8%) discharged from hospital without any post operative complication. Heart block occurred in one patient and cerebral emboli with secondary cerebrovascular accident (CVA) developed in two patients. One patient died (5.6%). Conclusion: Comparing results from two similar studies in two consecutive decades revealed that mean time from diagnosis to operation obviously was reduced but ad-vances in diagnostic modalities were unable to change clinical presentation or reduce age of tumor diagnosis or complications or size.

Keywords: cardiac surgery, heart neoplasms, myxoma, treatment outcome

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Type of Study: Original Article |