eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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3/2024
vol. 21
 
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abstract:
Original paper

Thirty-five years of single-center experience in cardiac myxoma surgery and related postoperative complications

Grzegorz Grudzien
1
,
Jakub Batko
1
,
Wojciech Olejek
1
,
Maciej Brzezinski
2
,
Boguslaw Kapelak
1
,
Krzysztof Bartus
1

  1. Department of Cardiovascular Surgery and Transplantology, Jagiellonian University Medical College, John Paul II Hospital, Krakow, Poland
  2. Department of Cardiac and Vascular Surgery, Medical University of Gdansk, Gdansk, Poland
Kardiochirurgia i Torakochirurgia Polska 2024; 21 (3): 133-136
DOI: https://doi.org/10.5114/kitp.2024.143461
Online publish date: 2024/09/25
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Introduction
Myxoma is the most common benign primary cardiac tumor.

Aim
To present a single center’s 35-year experience with myxoma surgery in terms of surgical technique and postoperative complications.

Material and methods
The data of 166 patients (56.7 ±12.6 years old, 68.1% female) with surgically removed myxoma were retrospectively analyzed. Information on blood transfusions, additional procedures and postoperative complications was collected.

Results
A median sternotomy was performed in 97.5% of patients. A right mini-thoracotomy was performed in 4 patients. Most (95.2%) patients were semi-urgent. The reason for truly urgent surgery was hemodynamic instability in 4.8% of patients. Crystalloid cardioplegia was used in 62% of cases. Postoperative complications were observed in 12% of patients. One death was observed on the first postoperative day. During hospitalization, 6 deaths (3.6%) were observed. The most common cause of death was multisystemic organ failure. There were no gender differences in mortality and complications.

Conclusions
Surgical treatment of myxomas is a relatively safe procedure with a mortality rate comparable to other types of cardiac surgery. The postoperative complication rate is low. Gender has no influence on the complication rate or type.

keywords:

cardiac myxoma, cardio‑oncology, benign tumors, surgical treatment
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