心脏黏液瘤36例手术治疗的回顾性分析

Retrospective Analysis in Operative Treatment of 36 Cases of Cardiac Myxoma

目的总结心脏黏液瘤的外科治疗经验。方法 36例心脏黏液瘤患者(左心房黏液瘤32例,右心房黏液瘤3例,左心室黏液瘤1例)均在低温体外循环下接受黏液瘤摘除术,1例同时行三尖瓣成形术,1例同时行二尖瓣成形术。结果全组无围手术期死亡病例,随访18(2～36)个月,无一例术后复发和远处种植转移。结论心脏黏液瘤手术疗效好,确诊后应立即手术。

Objective To review the experience in operative treatment of cardiac myxoma. Methods The 36 patients with cardiac myxoma（the 32 cases of myxoma in left atrium,the 3 cases in right atrium,the 1 case in left ventricle） received the excision of myxoma under hypothermic cardiopulmonary bypass,tricuspid valve plasty was performed in the 1 patient,and mitral valve plasty was performed in the 1 patient. Results There was no operative mortality.Recurrence and metastasis weren＇t observed during a follow-up of 18 months（2-36 months）. Conclusion Operative treatment is the most effective method for cardiac myxoma,and the operative treatment should be performed as soon as the confirmation of diagnosis.