Prognosis

Recurrence

Surgical resection of atrial myxoma has an excellent prognosis with low perioperative complications and low recurrence rates, although lifelong follow-up is needed.

In a series of 153 patients who were surgically operated for atrial myxoma, the reported recurrence rate (during mean follow-up of 5.2±1.8 years, range: 2 to 10 years) was 3.3%, with an inhospital mortality, from sepsis, of only one patient (0.7%).[16]

In another study of 403 patients undergoing resection of atrial myxoma, the early inhospital mortality rate was 0.7% and, during a median follow-up period of 4.5 years (range: 0.5 to 15 years), the tumor recurrence occurred in six patients (1.5%).[17]​Another case series reported a recurrence rate of 5%.[4]

The overall prognosis after successful removal of cardiac myxoma is very good. In one series, the overall survival after surgery at a median follow-up of 13 years (range 1 month to 42 years) was 87%.[18]

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