Surgical treatment of rare pediatric cardiac myxomas:12 years clinical experience in a single institution

作者全名："Zhao, Shengliang; Li, Hua; Wu, Chun; Pan, Zhengxia; Wang, Gang; Dai, Jiangtao"

作者地址："[Zhao, Shengliang; Wu, Chun; Pan, Zhengxia; Wang, Gang; Dai, Jiangtao] Chongqing Med Univ, Dept Cardiothorac Surg, Childrens Hosp, 20 Jinyu Ave, Chongqing, Peoples R China; [Zhao, Shengliang; Wu, Chun; Pan, Zhengxia; Wang, Gang; Dai, Jiangtao] China Int Sci & Technol Cooperat Base Child Dev &, Key Lab Child Dev & Disorders, Natl Clin Res Ctr Child Hlth & Disorders, Chongqing Key Lab Pediat,Minist Educ, Chongqing, Peoples R China; [Zhao, Shengliang; Li, Hua] Army Med Univ, Dept Thorac Surg, Affiliated Hosp 2, Chongqing, Peoples R China"

通信作者："Dai, JT (通讯作者)，Chongqing Med Univ, Dept Cardiothorac Surg, Childrens Hosp, 20 Jinyu Ave, Chongqing, Peoples R China.; Dai, JT (通讯作者)，China Int Sci & Technol Cooperat Base Child Dev &, Key Lab Child Dev & Disorders, Natl Clin Res Ctr Child Hlth & Disorders, Chongqing Key Lab Pediat,Minist Educ, Chongqing, Peoples R China."

来源：BMC CARDIOVASCULAR DISORDERS

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000980225900006

JCR分区：Q3

影响因子：2

年份：2023

卷号：23

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Cardiac myxomas; Primary cardiac tumor; Cardiac surgery; Pediatric

摘要："BackgroundPrimary cardiac tumors are rare, and cardiac myxoma (CM) accounts for the majority of these tumors. Most of the reports in the literature are case reports. This study summarizes our clinical experience in the surgical treatment of CM over the past 12 years.MethodsWe retrospectively analyzed the clinical data of 23 children with CM(8 boys, 15 girls; median age: 8.92 months, range: 2 years 5 months-12 years 9 months; body weight: 11-45 kg, median body weight: 28.21 kg) admitted to our hospital in the previous 12 years, and we statistically analyzed their clinical manifestations and surgical methods.Results23 cases underwent myxoma excision under cardiopulmonary bypass(CPB). The follow-up period was 0.2 to 12.6 years (mean:7.2 years). Two patients could not be traced, and the follow-up completion rate was 91.30%. One patient (4.35%) died of myocardial infarction early after surgery with low continuous cardiac output. There were no cerebral embolism, acute heart failure, atrioventricular block and other related complications in 19 cases. A patient with cerebral infarction complicated with right hemiplegia recovered well after rehabilitation treatment. There was no recurrence of CM in 19 cases and all patients recovered after surgery. One patient relapsed 5 years after surgery, and no tumor recurrence was observed after the second surgery. Among the 20 long-term survivors, 13 (65.00%) were NYHA Class I patients and 7(35.00%) were NYHA Class II patients.ConclusionsAlthough CM in children is rare, it may cause cerebral infarction and other multi-organ embolism. Once CM is found and removed as soon as possible, it can reduce serious complications. If the complete resection is possible, surgery provides better palliation. Follow-up echocardiographic should be paid attention to after surgery."

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