Document Detail


Surgical treatment of cardiac myxoma and its complications.
MedLine Citation:
PMID:  8076069     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A total of 20 patients (15 women, five men) were operated on for cardiac myxoma. Their ages ranged from 17 to 74 (mean 56) years. Myxoma was located in the left atrium in 18 patients and in the right in two. Systemic embolism occurred in eight patients, causing cerebral infarction in three, ischaemia of the extremities in two, occlusion of the external carotid artery with cerebral infarction in one, myocardial infarction in one and pulmonary infarction in one. Five patients with severe congestive heart failure required emergency surgery. All myxomas were removed using cardiopulmonary bypass with excision of the attachment walls. Details are given of additional surgery performed on some of the patients. Two patients died, one from pulmonary insufficiency after emergency surgery and the other from an unrelated problem. The remaining 18 patients showed a good recovery and are doing well with no intracardiac recurrence, although one with cerebral infarction underwent clipping of an aneurysm, which was detected later in the infarcted area.
Authors:
T Sugimoto; K Ogawa; T Asada; N Mukohara; M Nishiwaki; T Higami; T Kawamura
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  1     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  1993 Aug 
Date Detail:
Created Date:  1994-10-06     Completed Date:  1994-10-06     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  395-8     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Surgery, Hyogo Brain and Heart Centre, Himeji, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Carotid Artery Thrombosis / pathology,  surgery
Coronary Artery Bypass
Female
Follow-Up Studies
Heart Atria / pathology,  surgery*
Heart Neoplasms / pathology,  surgery*
Humans
Intracranial Embolism and Thrombosis / pathology,  surgery
Intraoperative Complications / pathology,  surgery*
Male
Middle Aged
Myxoma / pathology,  surgery*
Neoplastic Cells, Circulating*
Postoperative Complications / pathology,  surgery*
Pulmonary Embolism / pathology,  surgery
Reoperation
Thromboembolism / pathology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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