Miniincisionl versus Median Sternotomy to the Cardiac Myxoma: A Comparison of Outcomes

Abstract

Background: Cardiac myxoma are the commonest benign cardiac tumor, its pathological character make it higher tendency for showering and embolic complications. Surgery done on urgent base to avoid its complications. Its location in atria make it safely and feasible to minimal invasive approaches. Methods: This is retrospective study analysing data of 68 patients operated in zagazig university hospital and Naser institutes from July 2011 to December 2020. 49 patients operated through standard median sternotomy while 19 patients through mini incisions (right anterior mini thoracotomy and partial lower sternotomy). Results: Demographic data of patients in both groups are non significant , while by pass time and aortic cross clamp is significantly higher in minimal approaches than standard and Tumor size was significantly bigger in standard median sternotomy group. Variables in post operative groups regarding ICU stay and hospital stay are significantly shorter in minimal approaches. Conclusions: Mini incisions are safe and feasible in cardiac myxoma resection with comparable outcome to standard approach .its advantages in less post operative pain, less stay in hospital and less infection and better osmosis are predicators for encouraging to practicing these approaches.