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Date Published: 24/10/2025
Abstract Views: 24
Views PDF: 6
DOI: 10.47972/vjcts.v53i.1541
Issue
Vol. 53
Section
Research Article
How to Cite
Nguyen, H. N., Do, D. T., Pham, T. D., Nguyen, T. H., Nguyen, T. B., Nguyen, T. T., Nguyen, C. H., & Nguyen, H. U. (2025). Results of totally endoscopic resection surgery for atrial myxomas at E Hospital. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 53, 23 - 31. https://doi.org/10.47972/vjcts.v53i.1541

Results of totally endoscopic resection surgery for atrial myxomas at E Hospital

Hoang Nam Nguyen1, Duc Thinh Do, Thanh Dat Pham, Trung Hieu Nguyen, The Binh Nguyen, Tran Thuy Nguyen, Cong Huu Nguyen1, Huu Uoc Nguyen2,3,
1 E Hospital
2 Hanoi Medical University
3 Tam Anh General Hospital

Main Article Content

Abstract

Objective: Totally endoscopic surgery has been widely employed in cardiac surgery. This study sought to summarize the outcomes of totally endoscopic atrial myxoma resection surgery at E Hospital.


Subjects and Methods: This descriptive study was conducted in all consecutive patients who underwent totally endoscopic atrial myxoma resection surgery from January 2019 to January 2024 at  E Hospital.


Results: A total of 54 patients were enrolled, with a mean age of 52.8 ± 14.9 years and a female-to-male ratio of 4,4:1. Myxomas were found in both atria, predominantly in the left atrium (81.5%). Totally endoscopic surgery was successfully operated in all cases, with no conversions to sternotomy. The mean cardiopulmonary bypass time was 136.5 ± 41.7 minutes, and the mean aortic cross-clamp time was 75,8 ± 28,8  minutes. The mean intensive care unit length of stay was 2.1 ± 1.7 days, and the mean postoperative hospital length of stay was 9,5 ± 5,2 days. Early complications included several cases of atrial arrhythmia, but no major complications or mortality were observed. Follow-up at 6 to 69 postoperative months revealed no all-cause mortality and no recurrence of myxoma. Minor complications were effectively treated and managed.


Conclusion: Totally endoscopic surgery for atrial myxomas demonstrated high therapeutic efficacy, with no major complications, no mortality, and no recurrence during medium-term follow-up.

Keywords

Myxoma, totally endoscopic, complications

Article Details

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