Abstract— Cardiac tumors, especially those of the right atrium (RA), are not prevalent. The most common tumor of RA is myxoma which must be differentiated with other neoplastic tumors and thrombi. The most important role in diagnostics plays echocardiography and histopathological examination of removed masses. Other diagnostic methods also deliver additional information useful in therapeutic process. Nine cases of tumors of RA operated through median sternotomy both electively and non-electively, between 2008 and 2015, were analyzed in the present study. The rate of myxomae and thrombi was higher than expected. Also operative outcome was found to be worse in non-elective patients. Although due to a small number of analyzed patients, further studies including multicenter trials are necessary. The fact that fast diagnostics enabling optimal timing and type of the surgery is essential for good therapeutic results is undeniable. One of the reasons which may delay a proper diagnosis is the fact that tumors of RA do not have specific clinical presentation and are quite rare.
Keywords— Cardiac surgery, Myxoma, Right atrium, Thrombus, Tumor.
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