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Surgical Treatment of Heart Mixomas: the Analysis of 10 Years’ Experience

https://doi.org/10.23934/2223-9022-2021-10-2-385-392

Abstract

Introduction. Primary cardiac tumors are rare, and the autopsy detection rate does not exceed 0.003%. Approximately 80% of primary heart tumors are benign, 50% of them are myxomas. Diagnosis of cardiac tumors at present in the presence of transesophageal echocardiography is not difficult in most cases. Surgical treatment of mixomas became possible after the introduction of open-heart surgery under cardiopulmonary bypass into clinical practice. After verification of the tumor, its surgical removal is indicated. In the practice of large cardiac surgery clinics, the experience of radical treatment of heart neoplasms is relatively small; therefore, the analysis of tactical approaches and results of operations in this pathology is of absolute interest.

Aim of study. To present an analysis of 10 years’ experience in surgical treatment of cardiac mixomas. Material and methods The results of treatment of 58 patients with myxomas who underwent surgical removal of the neoplasm of the heart are presented.

Results. Hospital mortality after surgical removal of myxoma was 1.7%, 1 patient died. All patients, we have the long-term period data about, noted a significant improvement in well-being, a decrease or disappearance of dyspnea at rest and/or during exertion, and no recurrence of myxoma was noted. Conclusion. The data obtained indicate, on the whole, good immediate results and high quality of life of patients in the long-term period operated on for heart mixomas. 

About the Authors

V. V. Vladimirov
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation

Candidate of Medical Sciences, Cardiovascular Surgeon, Cardiac Surgery Department No. 2,

3 B. Sukharevskaya square, Moscow, 129090



A. I. Kovalev
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation

Candidate of Medical Sciences, Cardiovascular Surgeon, Head of the Cardiac Surgery Department No. 2,

3 B. Sukharevskaya square, Moscow, 129090



A. V. Redkoborody
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation

Candidate of Medical Sciences, Leading Researcher of the Department of Emergency Cardiac Surgery,  Assisted Circulation and Heart Transplantation, 

3 B. Sukharevskaya square, Moscow, 129090



V. V. Sokolov
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation

Doctor of Medical Sciences, Professor, Head of the Department of Emergency Cardiac Surgery, Assisted  Circulation and Heart Transplantation, 

3 B. Sukharevskaya square, Moscow, 129090



N. M. Bikbova
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation

Researcher, Department of Emergency Coronary Surgery,

3 B. Sukharevskaya square, Moscow, 129090



I. E. Galankina
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation

Doctor of Medical Sciences, Professor, Head of the Scientific Department of Pathological Anatomy, 

3 B. Sukharevskaya square, Moscow, 129090



R. Sh. Muslimov
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Russian Federation

Candidate of Medical Sciences, Leading Researcher of the Department of Radiation Diagnostics, 

3 B. Sukharevskaya square, Moscow, 129090



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Review

For citations:


Vladimirov V.V., Kovalev A.I., Redkoborody A.V., Sokolov V.V., Bikbova N.M., Galankina I.E., Muslimov R.Sh. Surgical Treatment of Heart Mixomas: the Analysis of 10 Years’ Experience. Russian Sklifosovsky Journal "Emergency Medical Care". 2021;10(2):385-392. https://doi.org/10.23934/2223-9022-2021-10-2-385-392

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