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KMID : 0364019900230061158
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Korean Journal of Thoracic and Cardiovascular Surgery
1990 Volume.23 No. 6 p.1158 ~ p.1167
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Surgical Treatment of Intracardiac Myxoma
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이선희/Lee, Sun Hee
문석환/조규도/조건현/왕영필/곽문섭/김세화/Moon, Seok Whan/Cho, Kyu Do/Jo, Keon Hyon/Wang, Young Pil/Kwack, Moon Sub/Kim, Se Wha
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Abstract
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Since November 1979, 20 patients have undergone excision of an intracardiac myxoma, which was located in the left atrium in 18(90%), in the right atrium in 1(5%), and in the rig-ht ventricle in 1(5%), There were 17 female and 3 male patients with a mean age of 43.5 years (range 23 to 68 years). Only one patient was asymtomatic, the others were seen mostly exertional dyspnea, palpitatio 1, sings of systemic illness. Diagnosis was confirmed by echocardiography in all cases and . ingiography in two cases, preoperatively, The myxomas were sucessfully removed in all patients, either by shaving them from the atrial septum or by excising a portion of normal atrial septum with tumor. All heart chambers were carefully explored for presence of multi-centric myxoma or tumor debris.
We conclude that excision of intracardiac myxoma is curative and long term survival is excellant and long term clinical and echocardiographic follow-up are recommended since late recurrence, although rare, has been reported.
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