Right Mini-Thoracotomy versus Standard Sternotomy for Surgical Excision of Atrial Myxomas
Introduction: Atrial myxomas are rare benign tumors; causing obstructive or embolic complications, or even death, depending on their site and size. Therefore, once diagnosed, it should be surgically resected. Atrial myxomas are present about 75% in left atrium (LA) and about 15% in right atrium (RA)...
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Mashhad University of Medical Sciences
2021-06-01
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doaj-a8cf89c4f6094608b7e1375f6c106a982021-06-20T03:30:06ZengMashhad University of Medical SciencesJournal of Cardio-Thoracic Medicine 2345-24472322-57502021-06-019279880410.22038/jctm.2021.55438.131217798Right Mini-Thoracotomy versus Standard Sternotomy for Surgical Excision of Atrial MyxomasYasser Mubarak0Thoracic Surgeon, Cardiothoracic Surgery Department, Faculty of Medicine, Minia University, Egypt. Madinah Cardiac Center, King Fahad Hospital, Madinah, KSA.Introduction: Atrial myxomas are rare benign tumors; causing obstructive or embolic complications, or even death, depending on their site and size. Therefore, once diagnosed, it should be surgically resected. Atrial myxomas are present about 75% in left atrium (LA) and about 15% in right atrium (RA). Early diagnosis is a challenge because of nonspecific manifestations, and sometimes is asymptomatic and may be discovered accidentally during transthoracic echography (TTE).Minimally invasive cardiac surgery (MICS) has benefits over sternotomy include cosmetically, less pain, and shorter total hospital stay. Materials and Methods:Between January 2011 to December 2020, (50) patients [30 Sternotomy, 20 MICS] underwent surgery for isolated resection of cardiac myxoma. We reported outcomes; cardiopulmonary bypass (CPB) time, aortic cross-clamp (ACC) time, conversion to median sternotomy (ST), total hospital stay, complications (stroke, renal failure, respiratory failure, reoperation, and infection), pain, patient¢s satisfaction, recurrence and survival. Follow-up time was from 6-months to 3-years. Results: There is no significant difference in CPB or cross-clamp time between groups. No minimal invasive (MI) cases required conversion to a median ST. Total hospital stay is shorter in the MI group by 2.2 days (p-value = 0.045). No differences present in morbidity or mortality between two groups. Conclusions: Surgical resection of atrial myxoma resection by minimal invasive approach is safe, feasible, and favored over sternotomyhttps://jctm.mums.ac.ir/article_17798_e3ddc20a63c2ec8d06057bf4a38f3630.pdfmyxomamedian sternotomyminimal invasive cardiac surgeryright anterolateral mini-thoracotomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yasser Mubarak |
spellingShingle |
Yasser Mubarak Right Mini-Thoracotomy versus Standard Sternotomy for Surgical Excision of Atrial Myxomas Journal of Cardio-Thoracic Medicine myxoma median sternotomy minimal invasive cardiac surgery right anterolateral mini-thoracotomy |
author_facet |
Yasser Mubarak |
author_sort |
Yasser Mubarak |
title |
Right Mini-Thoracotomy versus Standard Sternotomy for Surgical Excision of Atrial Myxomas |
title_short |
Right Mini-Thoracotomy versus Standard Sternotomy for Surgical Excision of Atrial Myxomas |
title_full |
Right Mini-Thoracotomy versus Standard Sternotomy for Surgical Excision of Atrial Myxomas |
title_fullStr |
Right Mini-Thoracotomy versus Standard Sternotomy for Surgical Excision of Atrial Myxomas |
title_full_unstemmed |
Right Mini-Thoracotomy versus Standard Sternotomy for Surgical Excision of Atrial Myxomas |
title_sort |
right mini-thoracotomy versus standard sternotomy for surgical excision of atrial myxomas |
publisher |
Mashhad University of Medical Sciences |
series |
Journal of Cardio-Thoracic Medicine |
issn |
2345-2447 2322-5750 |
publishDate |
2021-06-01 |
description |
Introduction: Atrial myxomas are rare benign tumors; causing obstructive or embolic complications, or even death, depending on their site and size. Therefore, once diagnosed, it should be surgically resected. Atrial myxomas are present about 75% in left atrium (LA) and about 15% in right atrium (RA). Early diagnosis is a challenge because of nonspecific manifestations, and sometimes is asymptomatic and may be discovered accidentally during transthoracic echography (TTE).Minimally invasive cardiac surgery (MICS) has benefits over sternotomy include cosmetically, less pain, and shorter total hospital stay. Materials and Methods:Between January 2011 to December 2020, (50) patients [30 Sternotomy, 20 MICS] underwent surgery for isolated resection of cardiac myxoma. We reported outcomes; cardiopulmonary bypass (CPB) time, aortic cross-clamp (ACC) time, conversion to median sternotomy (ST), total hospital stay, complications (stroke, renal failure, respiratory failure, reoperation, and infection), pain, patient¢s satisfaction, recurrence and survival. Follow-up time was from 6-months to 3-years. Results: There is no significant difference in CPB or cross-clamp time between groups. No minimal invasive (MI) cases required conversion to a median ST. Total hospital stay is shorter in the MI group by 2.2 days (p-value = 0.045). No differences present in morbidity or mortality between two groups. Conclusions: Surgical resection of atrial myxoma resection by minimal invasive approach is safe, feasible, and favored over sternotomy |
topic |
myxoma median sternotomy minimal invasive cardiac surgery right anterolateral mini-thoracotomy |
url |
https://jctm.mums.ac.ir/article_17798_e3ddc20a63c2ec8d06057bf4a38f3630.pdf |
work_keys_str_mv |
AT yassermubarak rightminithoracotomyversusstandardsternotomyforsurgicalexcisionofatrialmyxomas |
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