REVIEW – June-july 2021

Cardiac myxoma

Authors: Markus Kiili, Raili Ermel

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Abstract

Primary cardiac tumours are rare, being found in up to 0.03% autopsies. The most common primary cardiac tumour is cardiac myxoma (CM). Although histologically benign, CM may lead to serious complications owing to its location and embolic potential. While some patients are asymptomatic, CMs can present with a wide spectrum of clinical manifestations, including ischemic stroke and sudden cardiac death. Most CMs occur sporadically, while familial forms are encountered in up to 10% of cases. Echocardiography remains the diagnostic method of choice and urgent surgical removal is indicated following diagnosis. Follow-up is recommended for all patients undergoing surgical treatment. The risk of recurrence remains low following adequate resection with survival rates similar to that of general population. Special attention should be paid to familial forms with recurrences being up to four times more common in this population.