Title : The cardiac myxoma surgery 08 cases operated in Mali
Abstract:
Introduction: Cardiac myxoma is a rare tumor that represents only 0.25% of primary cardiac tumors and the most common in adults [1]. Nearly 75% of these tumors are located in the left atrium [2,3]. The symptoms and symptoms are disparate and depend mainly on the location of the myxoma [4].
Patients and Methods: This was a retrospective, descriptive study conducted at the André Festoc Center in Bamako. It focused on the records of patients operated on for myxoma of the left Oreillette(OG) under extracorporeal circulation(CEC) between September 10, 2018 and December 31, 2022.
Results: We collected 691 patients, including 8 cases of cardiac myxoma. The majority were women. The mean age was 39 years [33-64]. Clinical signs included exertional dyspnea III and acute pulmonary edema. All patients benefited from cardiac echo-Doppler. Surgical excision was total in all patients, i.e. 100%. The mean duration of CEC was 65min [48 min - 82min], the mean aortic clamping time was 38min [26min - 129 min]. Cardioplegia was DEL NIDO in 100% of cases. Postoperative follow-up was straightforward.
Conclusion: Surgical excision is the curative treatment for cardiac myxomas with a good prognosis and available in Mali with good results.
Keywords: Myxoma, Cardiac, Excision, CEC, Mali.
