Prevention and treatment for complications of cardiac myxoma excision in 215 cases

VernacularTitle:215例心脏黏液瘤外科手术并发症的防治
Author: Jinsong HAN ; Huishan WANG ; Zongtao YIN ; Hongguang HAN ; Xinmin LI
Publication Type:Journal Article
Keywords: Myxoma; Heart neoplasms; Postoperative complications
From: Chinese Journal of Postgraduates of Medicine 2014;37(14):8-10
CountryChina
Language:Chinese
Abstract: Objective To summarize the prevention and treatment experience of complications of cardiac myxoma excision.Methods Cardiac myxoma excision were performed in 215 cases under general anesthesia,cardiopulmonary bypass and cardiac arrest condition.Results Two cases died from severe low cardiac output syndrome which eventually caused multiple organ failure.The remaining 213 cases were cured and discharged.Among 213 cases,low cardiac output syndrome occurred in 35 cases,re-open chest for bleeding was performed in 8 cases,30 cases in arrhythmia (including paroxysmal supraventricular tachycardia in 20 cases and ventricular premature in 10 cases),no vital organs embolism occurred.Follow-up was done to 200 patients for 1-8 years with a follow-up rate of 93.9％ (200/213).In 200 cases,1 case died from lung cancer,1 case recurred and was cured after re-operation.The remaining patients had no obvious abnormalities.Conclusion As the particularity of surgical treatment of cardiac myxoma,it is essential to take prevention measures to reduce complications of cardiac myxoma excision in perioperative periods.