Surgical management of cardiac myxoma.

Ipek G; Erentug V; Bozbuga N; Polat A; Guler M; Kirali K; Peker O; Balkanay M; Akinci E; Alp M; Yakut C

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Surgical management of cardiac myxoma.

机译：心脏粘液瘤的外科治疗。

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OBJECTIVE: Between 1994 and December 2003, 55 patients were operated for cardiac myxoma in Kosuyolu Heart and Research Hospital in Istanbul. METHODS: We retrospectively analyzed our results according to the preoperative characteristics, operative procedures, and postoperative courses. RESULTS: Of 55 patients operated, 36 (65.4%) were female and 19 (34.6%) male. The average age of the patients was 48 +/- 15.5 years (range, 12-75). Thirteen patients (23.6%) previously had cerebrovascular accidents. Peripheral arterial emboli had occurred in 11 (20%) patients. The majority of the patients (44.4%) were in NYHA Class II preoperatively. One patient was presented with Carney's complex. Most frequent location was the left atrium (85.2%). Eight patients had concommitant surgery together with myxoma extirpation. Postoperative courses were uneventful. Three patients had a new onset atrial fibrillation, two had transient conduction disturbances. There were two (3.6%) in-hospital deaths. No recurrences have been noted during the 82.4 +/- 40.6 months (a total of 315.75 patient/years) follow-up. CONCLUSIONS: Surgical management of cardiac myxoma gives excellent results. In selected cases, a conservative approach may be adequate. Despite the scarcity of the neoplastic properties, careful follow-up is necessary.

机译：目的：从1994年至2003年12月，在伊斯坦布尔的科苏尤卢心脏和研究医院对55例心脏粘液瘤进行了手术。方法：我们根据术前特点，手术步骤和术后过程对结果进行回顾性分析。结果：55例手术患者中，女性36例（65.4％），男性19例（34.6％）。患者的平均年龄为48 +/- 15.5岁（范围12-75）。先前有13例（23.6％）脑血管意外。 11名（20％）患者发生了外周动脉栓塞。大部分患者（44.4％）在术前处于NYHA II级。向一名患者显示了卡尼复合体。最常见的位置是左心房（85.2％）。 8例患者同时行了粘液瘤切除术。术后课程顺利进行。 3例患者发生新的房颤，其中2例患有短暂性传导障碍。有两例（3.6％）医院内死亡。在82.4 +/- 40.6个月（总共315.75例患者/年）的随访期间未发现复发。结论：心脏粘液瘤的外科手术治疗效果极佳。在某些情况下，保守的方法可能就足够了。尽管缺乏肿瘤性质，但仍需仔细随访。

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《Journal of cardiac surgery.》 |2005年第3期|共5页
作者
Ipek G; Erentug V; Bozbuga N; Polat A; Guler M; Kirali K; Peker O; Balkanay M; Akinci E; Alp M; Yakut C;
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正文语种 eng
中图分类外科学;
关键词
Cardiac Surgical Procedures; Heart Neoplasms; Myxoma; 心脏肿瘤; 粘液瘤;

机译：Cardiac Surgical Procedures;Heart Neoplasms;Myxoma;心脏肿瘤;粘液瘤;

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Surgical management of cardiac myxoma.

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