Surgical Treatment of 8 Cases of Atrial Myxoma in Children

Shengliang Zhao1,2,3,4, Zhengxia Pan1,2,3,4,5, Yonggang Li1,2,3,4,5, Yong An1,2,3,4,5, Xin Jin1,2,3,4 and Chun Wu1,2,3,4,5*

1 Department of Cardiothoracic Surgery, Children?s Hospital of Chongqing Medical University, P.R. China 2 Ministry of Education Key Laboratory of Child Development and Disorders, P.R. China 3 National Clinical Research Center for Child Health and Disorders (Chongqing), P.R. China 4 China International Science and Technology Cooperation base of Child Development and Critical Disorders, P.R. China 5 Chongqing Key Laboratory of Pediatrics, P.R. China

^*Correspondance to: Chun Wu 

 PDF  Full Text DOI: 10.25107/2474-1647.3174

Abstract

Objective: To present our experience on the surgical excision of atrial myxomas in 8 children. Methods: We retrospectively analyzed the clinical data of 8 children with atrial myxomas admitted to our hospital within the previous 12 years, and we statistically analyzed their clinical manifestations and surgical treatments. Results: All 8 patients underwent myxoma excision under cardiopulmonary bypass. The 8 patients were followed up for 1 to 11 years, and 1 patient with cerebral infarction combined with hemiplegia of the right limb recovered well after rehabilitation treatment. Two patients had postoperative low cardiac output syndrome, which improved after treatment. None of the 8 children had cerebral embolism, acute heart failure, atrioventricular block or other related complications. There was no recurrence of atrial myxoma in 7 patients, and all patients recovered after surgery. One patient experienced recurrence 5 years after the operation and no recurrence were observed after the second operation. Conclusion: Although atrial myxoma in children is rare, it may cause cerebral infarction and other multiorgan embolisms. Once atrial myxoma is found, it must be surgically removed as soon as possible, which can not only reduce the risk of severe complications but also increase the possibility of resolution. The surgical removal of tumors under extracorporeal circulation is satisfactory, and there is a risk of recurrence after surgery. Follow-up cardiac ultrasound examinations should be considered after surgery.

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Cite the article

Zhao S, Pan Z, Li Y, An Y, Jin X, Wu C. Surgical Treatment of 8 Cases of Atrial Myxoma in Children. Clin Surg. 2021; 6: 3174..