Cardiac Myxoma, a Rare But Most Common Encountered Cardiac Tumor: A Single Center Experience

Introduction: Cardiac myxoma is a benign and rare tumor, which can present with a grim phenomenon if the presentation is late or the diagnosis and surgery are delayed. The purpose of this study was to share our institutional experience of cardiac myxoma. Material and Methods: This retrospective study was conducted to evaluate patients undergoing procedures at a single tertiary care centre for the treatment of cardiac myxoma during January, 2007 to December, 2017. Preoperative diagnosis was made by assessing clinical presentation and doing echocardiography. Complete tumor excision was performed, and all the patients were followed up for recurrence and complications. Results: A total of 45 cases of cardiac myxoma (13 males and 32 females) with the mean age of 37.5 years old (ranged between 16 and 60 years old) were operated over the period of 10 years. Cardiac myxoma constituted about 0.69% of all cardiac cases operated at our institute. Out of all the subjects, 41, 3, and 1 cases had left atrial, right atrial, and right ventricular involvements, respectively. Additionally, 43 patients (95%) survived the surgery, one recurrence was observed during the follow-up period. Conclusion: Cardiac myxoma is the most common cardiac tumor account for very small percentage of patients with heart disease. Early clinical suspicion and the use of imaging modalities are key to early diagnosis of this condition. Although these tumors have a risk for severe cardiac and systemic symptoms, referral to experienced centers for prompt surgical resection under cardiopulmonary bypass provides excellent early and long-term results

Role of thymectomy in myasthenia gravis

Aims and Objective: The aim of study is to show the effect of thymectomy with symptomatic improvement in patients and decrease in dose of medication requirement. To study the outcome of patients with respect to histology, duration of symptoms, remission of symptoms and post operative outcome. Methods: We prospectively analysed 28 patients with symptoms of myasthenia gravis with respect to patients profile, patients remission of symptoms with respect to age, and grade of disease, the response to thymectomy with respect to histology, and duration of symptoms. Result and Conclusion: Patients mainly present with easy fatigability, patients with mild disease respond well to surgery, hyperplasia is favorable histology for remission and lesser the duration of symptoms more are the chances of remission of disease

Role of minimally invasive surgery in cardiac valve disease

Introduction: Over the past decade minimally invasive cardiac surgery has gained significant popularity, more cases of valve, bypass and congenital surgery are being done by smaller incisions as experience increases. Materials & Methods: Between January 2013 and December 2015 a total of 50 cases were performed using ministernotomy or right thoracotomy. The patients were between 17-58 years of age and included 29 males, 21 females. Results: In Minimally invasive surgery average pump time was 20-60 minutes, cross clamp time 30-50 minutes, ventilation <8 hours, ICU stay < 1day, 2 or less units of blood required in majority of patients. Conclusion: Minimally invasive cardiac surgery results in smaller incisions, shorter ventilator time, ICU and hospital stay, faster recovery, less pain, lower incidence of infection and bleeding and better cosmesis