Clinical analysis of cardiac myxoma leading to embolic events
10.7507/1007-4848.201808021
- VernacularTitle:心脏粘液瘤导致栓塞事件的临床分析
- Author:
GE Yao
1
;
SHEN Chunjian
1
;
GAO Shun
1
;
LIU Chao
1
;
NAN Yang
1
;
QU Sheng
1
;
FU Jiayu
1
;
WU Wenzhe
1
;
LU Xiaonan
1
Author Information
1. The Department of Thoracic and Cardiovascular Surgery, The Second Hospital Affiliated to Medicine School of Shengyang, Shengyang, 110034, P.R.China
- Publication Type:Journal Article
- Keywords:
Cardiac myxoma;
embolization;
clinical features
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(6):565-568
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical manifestations of patients with cardiac myxoma and the factors affecting the occurrence of embolic events. Methods A retrospective study of 38 patients with cardiac myxoma diagnosed and surgically removed from January 2010 to December 2017 was performed. There were 11 males and 27 females at age of 32-75 (50.00±16.12) years. The patients were divided into a non-embolized group and an embolized group. The clinical manifestations of the patients were summarized and the factors leading to embolism were analyzed. Rseults Of the 26 patients in the non-embolized group, 22 patients (84.62%) had dyspnea, 14 patients (53.85%) had palpitations, 4 patients (15.38%) had angina pectoris, and 1 patient (3.85%) had heart failure. Of the 12 patients in the embolized group, 4 patients (33.33%) had dyspnea, 3 patients (25%) had palpitations, and 1 patient (8.33%) had angina pectoris. The mean diameter of the non-embolized group was 5.71±1.63 cm, and the maximum diameter of the tumor in the embolized group was 4.52±1.88 cm. There was no significant difference between the maximum diameter of the tumor in the embolized group and the maximum diameter of the non-embolized group (P>0.05). Atrial fibrillation occurred in 2 patients in the non-embolized group before operation. Atrial fibrillation occurred in 5 patients in the embolized group. Atrial fibrillation was more likely to occur in the embolized group (P<0.05). Conclusion Atrial fibrillation in the patients with cardiac myxoma is closely related to embolic events. The size of myxoma is not related to the occurrence of embolic events.
