Abstract

INTRODUCTION

To evaluate the clinical results and surgical planning in patients who underwent left atrial mixoma.

METHODS

In our clinic, seven patients with left atrial mixoma operated between June 2009 and July 2018. These patients were evaluated retrospectively. Demographical characteristics, surgical approaches and clinical outcomes were analyzed.

RESULTS

The mean age of the patients was 64 (38-77) and 5 of them were female.In all patients, myxomas were located in the left atrial. None of the patients had a history of preoperative embolism. One patient underwent emergency operation and simultaneous coronary artery bypass grafting procedure. In the postoperative period, two patients had rhythm problems and permanent pacemaker implantation was performed. Histopathological examination revealed tumor at surgical margins in one patient. No mortality and reintervention occurred during the early and late postoperative period.

DISCUSSION AND CONCLUSION

The determining of the tumor localization by preoperative TTE is important for intraoperative planning and the choice of atriotomy incision, complete tumor removal and surgical success. Complete resection of the tumor with cardiac origin can be achieved with low morbidity, mortality and recurrence rates.