KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI ĐIỀU TRỊ U NHÀY NHĨ TRÁI TẠI BỆNH VIỆN TIM HÀ NỘI GIAI ĐOẠN 2018 – 2021

Abstract

Objective: This study aimed to evaluate clinical and paraclinical characteristics of left atrial myxoma and the early results of endoscopic resection of left atrial myxoma in Hanoi Heart Hospital from 2018 to 2021. Subjects and methods: This is retrospective, descriptive study of consecutive patients, who underwent minimally invasive left atrial myxoma resection, using endoscopic technique from January 2018 to December 2021 at Hanoi Heart Hospital. Results: There were 29 patients, consisting of 06 males and 23 females. The mean age was 55 ± 7 years old (from 39 to 67 years old). Preoperative clinical symptoms were diverse. Systemic symptoms were including: fever (6,9%), fatigue (10,3%), weight loss (10,3%); Clinical presentation: patients that complained about dyspnea (37.9%) heart palpitations (20.7%) dizziness or faint (20.7%); embolism symptoms were presented in 1 patients (3,4%). Echocardiography results: the average tumor size was 4.9 ± 2 cm (from 1.6 to 8.8 cm), the site of attachment was all in the atrial septum (100%). 13,8% of the patients had tricuspid valve regurgitation and 6,9% of the patients had mitral valve regurgitation. Cardiopulmonary bypass time was 150 ± 44 minutes (from 88 to 264 minutes), cross-clamp time was 71 ± 35 minutes (from 24 to 154 minutes). Ventilation time was 13 ± 6 hours (from 5 to 36 hours), intensive care unit stay was 49 ± 26 hours (from 20 to 162 hours), and hospital stay time was 11 ± 4 days (from 5 to 22 days). 6 cases presented with pleural effusion (20,7%), 2 cases had pneumonia (6,9%), 2 cases had kidney failure (6.9%); one of them presented with stroke and thigh infections. There was no hospital mortality and no other serious complications. Conclusions: Using minimally invasive total or video-assisted technique was safe and effective with few complications, could be recommended to apply routinely in cardiac surgery centers.