Surgical treatment of cardiac myxomas : long-term results

Frank W Sellke; John H Lemmer Jr; Byron F Vandenberg; Johann L Ehrenhaft

doi:10.1016/0003-4975(90)90189-D

Back

Surgical treatment of cardiac myxomas : long-term results

Journal article

Open access

Peer reviewed

Surgical treatment of cardiac myxomas : long-term results

Frank W Sellke, John H Lemmer Jr, Byron F Vandenberg and Johann L Ehrenhaft

The Annals of thoracic surgery, Vol.50(4), pp.557-561

1990

DOI: 10.1016/0003-4975(90)90189-D

PMID: 2222043

Files and links (1)

url

https://doi.org/10.1016/0003-4975(90)90189-DView

Published (Version of record) Open Access

Abstract

Between 1965 and 1988, 22 patients underwent 24 operations for cardiac myxomas. Two patients had the complex myxoma syndrome. Mitral valve replacement was required at initial operation in 2 patients. One patient died perioperatively, and 5 others died subsequently. The 16 surviving patients recently underwent evaluation at a mean duration of 9 years after operation. Ten are asymptomatic and 6 have New York Heart Association class II symptoms. Nine patients continue to be employed. Eleven are in sinus rhythm, 3 have permanent pacemakers, and 2 have chronic atrial arrhythmias. Echocardiography showed atrioventricular valve insufficiency in 3 patients and reduced contractility in 4, but no new tumor recurrences. The long-term prognosis of this relatively large group of patients with cardiac myxomas has been good. Patients without the complex myxoma syndrome had no recurrence, whereas 2 patients did require reoperation for mitral valve replacement. Long-term disability and chronic arrhythmias have been infrequent, and functional status and employability of these patients have been very good.

Heart

Cardiology. Vascular system

Biological and medical sciences

Tumors of the heart

Medical sciences

Details

Title: Subtitle: Surgical treatment of cardiac myxomas : long-term results
Creators: Frank W Sellke - Univ. Iowa coll. medicine, dep. surgery, div. cardiothoracic surgery, Iowa City IA 52242, United States
John H Lemmer Jr - Univ. Iowa coll. medicine, dep. surgery, div. cardiothoracic surgery, Iowa City IA 52242, United States
Byron F Vandenberg - Univ. Iowa coll. medicine, dep. surgery, div. cardiothoracic surgery, Iowa City IA 52242, United States
Johann L Ehrenhaft - Univ. Iowa coll. medicine, dep. surgery, div. cardiothoracic surgery, Iowa City IA 52242, United States
Resource Type: Journal article
Publication Details: The Annals of thoracic surgery, Vol.50(4), pp.557-561
Publisher: Elsevier Science
DOI: 10.1016/0003-4975(90)90189-D
PMID: 2222043
ISSN: 0003-4975
eISSN: 1552-6259
Language: English
Date published: 1990
Academic Unit: Radiology; Cardiovascular Medicine; Internal Medicine
Record Identifier: 9984094668402771

Metrics

20 Record Views

48 Times Cited - Web of Science