Table 1 A comparison of right/left sided myxoma
Right-sided myxoma | Left-sided myxoma | |
|---|---|---|
Atrium | 15–20% | 75–85% |
Ventricle | 2.5–4% | 3–4% |
Symptoms | ||
Obstructive | Right heart failure: systemic congestion [4]: peripheral edema, ascites, superior vena cava syndrome | Left heart failure: pulmonary congestion: dyspnea [9] Systemic circulation ischemia: syncope [10] |
Embolic | Pulmonary embolism [13] | Cerebral/mesenteric/limb ischemia |
Constitutional | Fever, Infected cardiac myxoma, weight loss, etc. [2] | |
Onset [14] | Late onset | Early onset |
Treatment | ||
Surgical resection | Timely surgical resection is always necessary for all myxomas [15,16] | |
Prognosis | ||
No surgery | More than 8% of patient died of myxoma associated complications [17] | |
Surgery | Operative mortality is less than 5% [15] | |
Recurrence | Long-term recurrence is rare [18] | |