Article Sidebar
Views PDF: 40
EARLY OUTCOME OF MINIMALLY INVASIVE LEFT ATRIAL MYXOMA RESECTION AT CHO RAY HOSPITAL
Main Article Content
Abstract
Background: Left atrial myxoma is one of the most popular benign cardiac tumor. Atrial myxoma resection through minimal invasive approach become more popular and more effective than full sternotomy. This study is performed to assess the effectiveness and safety of this surgery at Cho Ray hospital. Objectives: To evaluate the clinical and subclinical presentation of patient with left atrial myxoma and early outcome of minimally invasive left atrial myxoma resection. Materials and methods: Retrospective, descriptive study of patients, who underwent minimally invasive left atrial myxoma resection, with or without valve repair from January 2020 to December 2023 at Cho Ray hospital. Results: 34 patients underwent minimally invasive left atrial myxoma resection, average age 57, ratio of male: female was 1:2. The clinical presentation was mostly dyspnea, chest pain, and no symptoms. Left atrial myxoma attach mostly at atrial septum (82.4%), average size of tumor: 45.62 ± 14.99 mm. Approaching the tumor through left atrial 29 cases, in that, 2 cases with mitral valve repair and 1 case with bicuspid valve repair. Ventilation time was 11.22 ± 5.17 hours, intensive care unit stay was 1.53 ± 0.90 days, and hospital stay time was 7.76 ± 2.38 days. Complications of this surgery were 2.9% of death, 8.8% of pneumothorax, 17.6% of subcutaneous Emphysema. Result of echocardiography after surgery was no tumor or vale regurgitation. Conclusions: Minimally invasive left atrial myxoma resection is safe, effective and feasible for patients with atrial myxoma.
Article Details
Keywords
Left atrial myxoma, minimally invasive cardiac surgery, right minithoracotomy
References
2. Lê Thế Hùng, Phạm Thành Đạt, Nguyễn Hoàng Nam, Đỗ Đức Thịnh, Nguyễn Trần Thủy và cộng sự. Kết quả sớm phẫu thuật ít xâm lấn cắt u nhầy nhĩ trái tại Trung tâm Tim mạch Bệnh viện E. Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam. 2022. 36, 5-12, https://doi.org/10.47972/vjcts.v36i.733.
3. Đinh Ngọc Liêm, Nguyễn Sinh Hiền, Đặng Quang Huy, Nguyễn Minh Ngọc, Vũ Ngọc Tú. Kết quả sớm phẫu thuật nội soi điều trị u nhầy nhĩ trái tại bệnh viện tim Hà Nội giai đoạn 2018-
2021.Tạp Chí Y học Việt Nam. 2022. 518(1), 11-15, https://doi.org/10.51298/vmj.v518i1.3306.
4. Baba A, Hisata Y, Odate T, Yamada T. A giant left atrial myxoma causing left-sided heart failure. SAGE Open Med Case Rep. 2022. 10, 2050313 –221105829, doi:
10.1177/2050313X221105829.
5. Uchime KE, Olanipekun OA, Ogidan ON, Oguntola SO, Ezekpo OO et al. Left atrial myxoma presenting with acute pulmonary edema and syncope in a middle-aged black African woman: a case report. Pan Afr Med J. 2023. 46(31), doi: 10.11604/pamj.2023.46.31.41414.
6. Silva Júnior ML, Albuquerque TE, Melo ES. Giant atrial myxoma leading to stroke. Med J Aust. 2021. 215(6), 258 – 258.1, doi: 10.5694/mja2.51231.
7. Yuan SM, Humuruola G. Stroke of a cardiac myxoma origin. Rev Bras Cir Cardiovasc. 2015. 30(2), 225-34, doi:10.5935/1678-9741.20150022.
8. Cianciulli TF, Cozzarin A, Soumoulou JB, Saccheri MC, Méndez RJ et al. Twenty Years of Clinical Experience with Cardiac Myxomas: Diagnosis, Treatment, and Follow Up. J Cardiovasc Imaging. 2019. 27(1), 37-47, doi: 10.4250/jcvi.2019.27.e7.
9. Pinede L, Duhaut P, Loire R . Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore). 2001. 80(3),159-72, doi: 10.1097/00005792200105000-00002.
10. Dinesh Kumar US, Wali M, Shetty SP, Sujay KR. Left atrial myxoma - A tumor in transit. Ann Card Anaesth. 2019. 22(4), 432-434, doi: 10.4103/aca.ACA_232_18.
11. Tetera W, Wilk A, Król W, Braksator W. Asymptomatic Left Atrial Myxoma. J Cardiovasc Echogr. 2022. 32(2), 116 – 118, doi: 10.4103/jcecho.jcecho_70_21.
12. Kamil B, Arzu AD, Mehmet A, Ilknur A, Serkan K et al. Surgical Management of Cardiac Myxomas in Elderly Patients. Bagcilar Med Bull. 2016. 1(1), 1-5, doi:10.5350/BMB2016010101.
13. Vũ Tam Thiện, Nguyễn Thời Hải Nguyên, Nguyễn Hoàng Định. Kết quả phẫu thuật ít xâm lấn cắt u nhầy nhĩ trái qua đường mở ngực nhỏ bên phải. Tạp chí Y học thành phố Hồ Chí Minh. 2020. 24 (1), 33-38.
14. Kaiser LR., Kron IL, Spray TL. Mastery of cardiothoracic surgery 2nd ed. Lippincott Williams & Wilkins. 2007. Cardiac tumors.
15. Yüksel A, Saba D, Velioğlu Y, Ener S, Özkan H. Biatrial Approach Provides Better Outcomes in the Surgical Treatment of Cardiac Myxomas. Braz J Cardiovasc Surg. 2016. 31(4), 309 – 317, doi: 10.5935/1678-9741.20160066.