Myxoma in Pediatric Patients: A Single Centre Experience

Cardiovascular Journal Pub Date : 2023-04-26 DOI:10.3329/cardio.v15i2.65626

M. Islam, Sakila Israt Jahan, Abu Shadat Mohammad Saem Khan, M. K. Hassan, Khondokar Shamim Shahriar Ziban Rushel

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Abstract

Background: Pediatric cardiac tumor is a very rare entity with an autopsy frequency 0.0017-0.28%. This study aims to analyze the characteristics and outcome of pediatric patients with myxoma. Methods: Nine Patients with myxoma treated between January 2008 & December 2019 were included into this retrospective study. The patients’ age ranged from 4 years to 11 years and weight from 10-20 kg. All patients were diagnosed by transthoracic echocardiography. Results: We did complete resection of tumor in all patients under cardiopulmonary bypass. Mean cardiopulmonary bypass time was 55 minutes & mean cross clamp time was 34 means. Mean ICU stay was 3 days. Six (66.33%) tumors found in left atrium, while 2 (22.11%) found in right atrium and 1(11.06%) in right ventricle. Histopathological report of all 9 tumors revealed myxoma. 1 patient developed left sided hemiparesis and another 1 patient developed wound infection. No mortality or recurrence in follow up period. Conclusion: Myxoma is the commonest primary cardiac tumor. Surgery of cardiac tumor can result in good early and long-term outcome. Cardiovasc j 2023; 15(2): 132-135

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儿童黏液瘤患者:单一中心经验

背景:小儿心脏肿瘤是一种非常罕见的肿瘤，其尸检频率为0.0017-0.28%。本研究旨在分析小儿黏液瘤的特点及预后。方法:回顾性研究2008年1月至2019年12月期间治疗的9例黏液瘤患者。患者年龄4 ~ 11岁，体重10 ~ 20kg。所有患者均通过经胸超声心动图诊断。结果:所有患者均行体外循环手术，肿瘤全部切除。平均体外循环时间为55分钟，平均交叉钳夹时间为34分钟。平均ICU住院时间3天。左心房6例(66.33%)，右心房2例(22.11%)，右心室1例(11.06%)。9例肿瘤病理报告均为黏液瘤。1例出现左侧偏瘫，1例出现伤口感染。随访期间无死亡和复发。结论:黏液瘤是最常见的原发性心脏肿瘤。手术治疗心脏肿瘤可获得良好的早期和长期预后。心血管病[j] 2023;15 (2): 132 - 135

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Cardiovascular Journal

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