An Audit of Management of Atrial Myxoma At A Tertiary Referal Centre

Myxomas are common intracardaic tumours. These lesions are friable and easy to embolise. We present data of surgical excision of this tumour in 8 patients,2012 to 2016. Patients data regarding age, sex, clinical presentation,size of myxoma, bypass time ,cross clamp time, postoperative course were noted. All patients were operated for removal of myxoma. Care was taken to ensure that minimal handling of the heart is carried out during the conduct of cardio-pulmonary bypass (CPB) Of the 8 patients operated. 5 of the patients presented with LV inflow obstruction. There was one post-operative mortality. The mean bypass time was 100.1 min range (48 to 195minutes) and cross clamp time 67.14 min range (32 to 108 minutes). The mean size of myxoma was 50 by 33.1 mm. Atrial myxomas have excellent long term survival. Surgery needs to be done on an emergency basis for the fear of tumor fragmentation and subsequent embolization.