Long-term outcome of patients with atrial myxoma after surgical intervention: analysis of 403 cases
Chen-Xi JIANG
Jian-Gang WANG
Rui-Dong QI
Wei WANG
Li-Jian GAO
Jing-Hua ZHAO
Chun-Xiao ZHANG
Meng-Chen ZHOU
Xin TU
Mei-Sheng SHANG
Yan YAO
摘要：Objective To assess long-term survival and late cardiovascular events in patients with atrial myxoma after surgical intervention.Methods Retrospective analysis of 403 patients undergoing resection of atrial myxoma from January 2002 to December 2016 was conducted with a median follow-up period of 4.5 (range:0.5-15) years.Results The cross-clamp time and cardiopulmonary bypass times were 41.1 ± 21.4 and 65.2 ± 27.3 min,respectively.A diagnosis of myxoma was histopathologically confirmed in all cases.The early in-hospital mortality rate was 0.7％ (n =3).During the follow-up period,tumor recurrence occurred in six patients and cerebral infarction in nine.There were 48 (11.9％) patients with late onset atrial fibrillation (AF).By multivariate analysis,age (HR =1.05,95％ CI:1.02-1.09,P ＜ 0.001),left atrial diameter (HR =1.23,95％ CI:1.08-1.36,P =0.012),and mitral valve surgery (HR =1.17,95％ CI:1.05-1.29,P =0.027) were independent predictors of late onset AF.Twenty-one (5.2％) patients died during the follow-up period.Advanced age (HR =1.07,95％ CI:1.04-1.10,P =0.003) and multiple surgical procedures (HR =1.18,95％ CI:1.06-1.29,P =0.012) were significantly associated with overall mortality.Conclusions Atrial myxoma can be resected with good long-term survival.Late onset AF is common after surgery in patients with atrial myxoma.Advanced age,left atrial diameter,and mitral valve surgery were independent predictors of outcomes.
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论文发表日期：2019-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：6( 338-343 )
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