Mixoma cardíaco: experiencia de 28 años en resección quirúrgica

Background: The incidence rates of cardiac tumors are low. Aim: To report the clinical presentation of cardiac myxomas and long-term evolution after resection. Material and Methods: Review of a database of surgical patients undergoing surgical resection of a cardiac myxoma in a public hospital be...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Merello,Lorenzo, Elton,Victoria, González,Diego, Elgueta,Felipe, Salazar,Rodrigo, Quiroz,Manuel, Pedemonte,Oneglio, Aranguiz,Ernesto
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2020
Materias:	Cardiac Surgical Procedures Heart Neoplasms Myxoma Survival Analysis
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000100078
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872020000100078
record_format	dspace
spelling	oai:scielo:S0034-988720200001000782020-04-02Mixoma cardíaco: experiencia de 28 años en resección quirúrgicaMerello,LorenzoElton,VictoriaGonzález,DiegoElgueta,FelipeSalazar,RodrigoQuiroz,ManuelPedemonte,OneglioAranguiz,Ernesto Cardiac Surgical Procedures Heart Neoplasms Myxoma Survival Analysis Background: The incidence rates of cardiac tumors are low. Aim: To report the clinical presentation of cardiac myxomas and long-term evolution after resection. Material and Methods: Review of a database of surgical patients undergoing surgical resection of a cardiac myxoma in a public hospital between 1990 and 2018. Results: Seventy-eight patients aged 53 ± 15 years (65% females) were included. The most frequent comorbidities were arterial hypertension (40.5%), hypothyroidism (15%) and diabetes mellitus (12%). The main presenting symptoms were dyspnea (33%), neurological deficit secondary to embolism (30%) and acute pulmonary edema (5%). The most common location was the left atrium, in 87%. During surgery, cardiopulmonary bypass and aortic cross-clamp times were 50.2 ± 19.6 and 33.4 ± 15.2 min, respectively. One patient died due to severe neurological involvement. Follow-up was completed in seventy-seven patients, with a mean echocardiographic follow-up time of 10.4 ± 7.7 years. Thirty-four patients were followed for more than 10 years. Six patients (7.7%) died during the follow-up and in six patients (7%) a recurrence was identified. Conclusions: Cardiac myxoma usually has nonspecific symptoms. Surgical excision offers excellent short and long-term results. Complications and recurrence rates are low in non-hereditary myxomas but obligates to perform echocardiographic follow-up for early diagnosis of recurrence.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.1 20202020-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000100078es10.4067/S0034-98872020000100078
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cardiac Surgical Procedures Heart Neoplasms Myxoma Survival Analysis
spellingShingle	Cardiac Surgical Procedures Heart Neoplasms Myxoma Survival Analysis Merello,Lorenzo Elton,Victoria González,Diego Elgueta,Felipe Salazar,Rodrigo Quiroz,Manuel Pedemonte,Oneglio Aranguiz,Ernesto Mixoma cardíaco: experiencia de 28 años en resección quirúrgica
description	Background: The incidence rates of cardiac tumors are low. Aim: To report the clinical presentation of cardiac myxomas and long-term evolution after resection. Material and Methods: Review of a database of surgical patients undergoing surgical resection of a cardiac myxoma in a public hospital between 1990 and 2018. Results: Seventy-eight patients aged 53 ± 15 years (65% females) were included. The most frequent comorbidities were arterial hypertension (40.5%), hypothyroidism (15%) and diabetes mellitus (12%). The main presenting symptoms were dyspnea (33%), neurological deficit secondary to embolism (30%) and acute pulmonary edema (5%). The most common location was the left atrium, in 87%. During surgery, cardiopulmonary bypass and aortic cross-clamp times were 50.2 ± 19.6 and 33.4 ± 15.2 min, respectively. One patient died due to severe neurological involvement. Follow-up was completed in seventy-seven patients, with a mean echocardiographic follow-up time of 10.4 ± 7.7 years. Thirty-four patients were followed for more than 10 years. Six patients (7.7%) died during the follow-up and in six patients (7%) a recurrence was identified. Conclusions: Cardiac myxoma usually has nonspecific symptoms. Surgical excision offers excellent short and long-term results. Complications and recurrence rates are low in non-hereditary myxomas but obligates to perform echocardiographic follow-up for early diagnosis of recurrence.
author	Merello,Lorenzo Elton,Victoria González,Diego Elgueta,Felipe Salazar,Rodrigo Quiroz,Manuel Pedemonte,Oneglio Aranguiz,Ernesto
author_facet	Merello,Lorenzo Elton,Victoria González,Diego Elgueta,Felipe Salazar,Rodrigo Quiroz,Manuel Pedemonte,Oneglio Aranguiz,Ernesto
author_sort	Merello,Lorenzo
title	Mixoma cardíaco: experiencia de 28 años en resección quirúrgica
title_short	Mixoma cardíaco: experiencia de 28 años en resección quirúrgica
title_full	Mixoma cardíaco: experiencia de 28 años en resección quirúrgica
title_fullStr	Mixoma cardíaco: experiencia de 28 años en resección quirúrgica
title_full_unstemmed	Mixoma cardíaco: experiencia de 28 años en resección quirúrgica
title_sort	mixoma cardíaco: experiencia de 28 años en resección quirúrgica
publisher	Sociedad Médica de Santiago
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000100078
work_keys_str_mv	AT merellolorenzo mixomacardiacoexperienciade28anosenreseccionquirurgica AT eltonvictoria mixomacardiacoexperienciade28anosenreseccionquirurgica AT gonzalezdiego mixomacardiacoexperienciade28anosenreseccionquirurgica AT elguetafelipe mixomacardiacoexperienciade28anosenreseccionquirurgica AT salazarrodrigo mixomacardiacoexperienciade28anosenreseccionquirurgica AT quirozmanuel mixomacardiacoexperienciade28anosenreseccionquirurgica AT pedemonteoneglio mixomacardiacoexperienciade28anosenreseccionquirurgica AT aranguizernesto mixomacardiacoexperienciade28anosenreseccionquirurgica
_version_	1718437104449486848

Mixoma cardíaco: experiencia de 28 años en resección quirúrgica

Ejemplares similares