![\"HEART](\"http:\/\/drpavankumar.in\/blog\/wp-content\/uploads\/2017\/06\/Myxoma-left-ventri-272x300.jpg\")
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HEART SURGERY FOR PRIMARY CARDIAC TUMOR LEFT ATRIAL MYXOMA AT LILAVATI HOSPITAL, MUMBAI , INDIA BY DR. PAVAN KUMAR <\/strong><\/p>\n Mrs. L. N. 57 year foreign National from MOZAMBIQUE came to Lilavati hospital for general body check up for her mildly swollen right leg & mild off & on Fever. Her total body check up revealed no abnormalities except the cardiac Echo which showed 3.5 x 3.5 cm Globular Mass in left atrium attached to inter-atrial septum in an otherwise normal cardiac parameters. For differentiation a CARDIAC MRI was done which suggested that this mass could be Myxoma like Tumor rather than clot. Discussion \u2013 <\/strong> Myxoma are pedunculated tumors with fibro muscular stalk attached to sub endothelial base usually at fossa ovalis on Inter Atrial Septum. These tumors have gelatinous appearance with foci of haemorrhage & calcification \/ cystic changes seen on histopathology which also shows uniform spindle \/ stellate – shape cells in extensive Myxoid stroma. Treatment for cardiac Myxoma tumors is prompt surgical resection by open heart surgery complete excision is the goal to avoid recurrence which occurs in 3% cases. Long term follow up & family screening for these tumors is highly recommended. Simple good Echo Cardiography can pick up these cases.<\/p>\n It has been rewarding surgery for these patients. Importance of early diagnosis & quick referral is key to successful surgical treatment .<\/p>\n","protected":false},"excerpt":{"rendered":" HEART SURGERY FOR PRIMARY CARDIAC TUMOR LEFT ATRIAL MYXOMA AT LILAVATI HOSPITAL, MUMBAI , INDIA BY DR. PAVAN KUMAR Mrs. L. N. 57 year foreign National from MOZAMBIQUE came to Lilavati hospital for general body check up for her mildly swollen right leg & mild off & on Fever. Her total body check up revealed […]<\/p>\n","protected":false},"author":1,"featured_media":199,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-79","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-angioplasty"],"yoast_head":"\n
\nIn view of these findings , the patient was advised urgent open heart surgery for removal of this tumor from Left atrium chamber of heart. Open heart surgery was carried out on 19\/05\/2017.Tumor was removal through Trans -atrial approach from right atrium. Tumor was 3.5 x 4.5 cm Globular hard mass attach to left atrial side of interatrial septum with broad base which was also removed. Atrial Septal reconstruction was done using Dacron Patch & heart surgery was completed successfully.
\nTumor was sent for histopathology which confirmed the diagnosis of MYXOMA TUMOR of heart. Patient recovered completely & discharged from Hospital after 6 days.<\/p>\n
\nIn my own last 25 yrs of surgical practice I have removed 27 such Myxomas from heart, 13 from left atrium , 8 from Right atrium , 3 biatrial , 1 from right ventricle & 1 from Left ventricle successfully. So far no recurrence have been reported to me. Almost 50% have had embolic episodes , only 20% were asymptomatic patients.<\/p>\n