Objective: Through this surgical series, we present the epidemiological and anatomical-clinical
aspects and the surgical results concerning patients operated on for a primary cardiac
tumor at the Abidjan Heart Institute.Materials
and Method:This is a retrospective descriptive
study covering the period of January 1982 to December 2022, based on the medical
records of patients operated on for a primary cardiac tumor at the Abidjan Heart
Institute. Results: Twenty-seven (27) patients underwent surgery for a primary cardiac tumor,
including 14 women and 13 men with a mean age of 41.5 years (range 19-76 years). The main circumstances of discovery were exertional
dyspnea, palpitation and syncope or pseudo-syncope. The main site was the septal
wall of the left atrium. The diagnosis of myxoma was confirmed by pathological examination
of the surgical specimen in 96.3% (n=24) of the
patients and it was a malignant large cell immunoblastic lymphoma of the myocardium
in 3.7% (n=1) of the patients. The mean
largest diameter was 46.1mm. The
postoperative course was marked by an ischaemic stroke (n=1); recurrence of a left atrial myxoma 5 years after
the first tumor removal (n=1).
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