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01.12.2017 | Research article | Ausgabe 1/2017 Open Access

Journal of Cardiothoracic Surgery 1/2017

Surgical resection of cardiac myxoma—a 30-year single institutional experience

Journal of Cardiothoracic Surgery > Ausgabe 1/2017
Kyo Seon Lee, Gwan Sic Kim, Yochun Jung, In Seok Jeong, Kook Joo Na, Bong Suk Oh, Byung Hee Ahn, Sang Gi Oh



Primary cardiac tumors are rare and myxoma constitutes the majority. The present study summarizes our 30-year clinical outcomes of surgical myxoma resection.


Between January 1986 and December 2015, 93 patients (30 men, 63 women; mean age, 54.7 ± 16.6 years) underwent surgical myxoma resection. The most common origin site was the left atrium. Surgery was performed via a biatrial approach in 74.2%, atrial septotomy through right atriotomy in 17.2%, and left atriotomy only in 8.6%. Mean myxoma size based on longest length was 4.73 ± 1.92 cm (range, 1.2–11.0 cm).


The mean follow-up duration was 9.9 ± 7.8 years (range, 0–29 years). In-hospital mortality was 3.2%. The most common postoperative complication was atrial fibrillation (4.3%). The 5-, 10-, and 30-year survival rates were 92.9%, 87.2%, and 75.5%, respectively. Recurrence occurred in two patients (2.1%), which were detected at 20 and 79 months after the first surgery, respectively.


Long-term survival after myxoma resection was excellent and recurrence was rare. Based on our experience, surgical method did not affect the outcome.
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