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Date Published: 21/03/2022
Online Published: 26/01/2022
Abstract Views: 376
Views PDF: 254
DOI: https://doi.org/10.47972/vjcts.v36i.733
Issue
Vol. 36
Section
Research Article
How to Cite
Hung, L. T. ., Dat, P. T., Nam, N. H., Thinh, D. D., Thuy, N. T. ., Thanh, L. N. ., & Huu, N. C. . (2022). Early result of minimally invasive left atrial myxoma resection at Cardiovascular Center - E hospital. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 36, 5-12. https://doi.org/10.47972/vjcts.v36i.733

Early result of minimally invasive left atrial myxoma resection at Cardiovascular Center - E hospital

Le The Hung, Pham Thanh Dat, Nguyen Hoang Nam, Do Duc Thinh, Nguyen Tran Thuy, Le Ngoc Thanh, Nguyen Cong Huu

Main Article Content

Abstract

Objectives: The study aimed to evaluate clinical and paraclinical characteristics of left atrial myxoma and the early result of minimally invasive left atrial myxoma resection at E hospital.


Patients and methods: This is retrospective, descriptive study of consecutive patients, who underwent minimally invasive left atrial myxoma rejection, using total or video-assisted endoscopic technique from October 2016 to March 2021 at E hospital. There were 31 patients, consisting of 27 females and 04 males. The mean age was 53 ± 13 years old (range [17-74]).


Results: Preoperative clinical manifestations were diverse. Asymptomatic form was in 3 patients (9.7%), hemodynamic symptoms were in 26 patients (83.9%), embolism were presented in 4 patients (12.9%), systemic symptoms were in 8 patients (25.8%). Anemia and elevated erythrocyte sedimentation rates were observed in 45.2% and 74.2%, respectively. Echocardiography results: the average tumor size was 4.2 ± 1.7 cm (range [1.7-8]), the site of attachment was mainly in the atrial septum (77.4%). Cardiopulmonary bypass time was 158 ± 43 minutes (range [100-252]), cross-clamp time was 84 ± 34.2 minutes (range [42-153]), ventilation time was 10,8 ± 7,0 hours (range [3-30]), intensive care unit stay was 1,5 ± 1,0 days (range [0.5-4]), and in-hospital stay was 9.5 ± 5.0 days (range [3-30]). There was no hospital mortality. Cerebrovascular accident was presented in one (3.2%), femoral artery stenosis was in one (3.2%), atrial fibrillation after surgery was in one(3.2%).There was no bleeding, that require reoperation, and no other serious complications.


Conclusions: Initial results of left atrial myxoma resection, using minimally invasive total or video-assisted technique wassafe and effectivewith low complications, could be recommended toapply routinely in cardiac surgery centers.

Article Details

Keywords

left atrial myxoma, minimally invasive cardiac surgery

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