This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Leo A. Bockeria Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Bockeria, L. A. Articles by Perepelitsa, A. A. Search for Related Content PubMed PubMed Citation Articles by Bockeria, L. A. Articles by Perepelitsa, A. A. Related Collections Lung - other Trachea and bronchi Related Article

ICVTS on-line discussion A The results of cardiac myxoma surgery

Bakoulev Scientific Center, Roublevskoye Shosse 135, Moscow 121552, Russia

Cardiac myxoma: preoperative diagnosis using a multimodal imaging approach and surgical outcome in a large contemporary series

eComment: We thank the authors for very interesting and important information [1]. Indeed, the most important method in myxoma preoperative diagnostics is transthoracic echocardiography. An additional diagnostic method in unclear diagnostic cases is transesophageal echocardiography [2, 3]. CT and MRI can be used to differentiate the kind of tumor in right parts of the heart. MRI allows determining more specific tumor localization, its size and spread, tumor position to adjacent organs, and also the histological structure as compared to CT.

We have a large experience in diagnostic and surgical treatment of myxomas. From 1962 to 2007 we operated on more than 300 patients with heart tumors of different etiology, 250 of them were patients with myxomas. The average age of the patients was 42 years old. In 82% of the cases the tumor was located in right parts of the heart, in 16% of the cases in left parts. Last year we didn't have the postoperative mortality.

As a basic method of diagnostic we used transthoracic echocardiography. This method allows differentiating the myxoma, located in the appendage of left atrium and left atrium thrombosis. Transesophageal echocardiography also is a quite important method to differentiate myxoma and thrombosis. Due to TEE, localization and structure of the tumor can be determined. MRI gives us the opportunity to differentiate myxomas, thrombosis and malignant growth.

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1. Rahmanian PB, Castillo JG, Sanz J, Adams DH, Filsoufi F. Cardiac myxoma: preoperative diagnosis using a multimodal imaging approach and surgical outcome in a large contemporary series. Interact CardioVasc Thorac Surg 2007; 6:479–483.[Abstract/Free Full Text]
2. Keeling IM, Oberwalder P, Anelli-Monti M, Schuchlenz H, Demel U, Tilz GP, Rehak P, Rigler B. Cardiac myxomas: 24 years of experience in 49 patients. Eur J Cardiothorac Surg 2002; 22:971–977.[Abstract/Free Full Text]
3. Selkane C, Amahzoune B, Chavanis N, Raisky O, Robin J, Ninet J, Obadia JF. Changing management of cardiac myxoma based on a seriesof 40 cases with long-term follow-up. Ann Thorac Surg 2003; 76:1935–1938.[Abstract/Free Full Text]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Leo A. Bockeria Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Bockeria, L. A. Articles by Perepelitsa, A. A. Search for Related Content PubMed PubMed Citation Articles by Bockeria, L. A. Articles by Perepelitsa, A. A. Related Collections Lung - other Trachea and bronchi Related Article