SATS 2009 Final Program - Scandinavian Association for Thoracic ...

P01:06
CARDIAC MYXOMA IN ICELAND - A NATION-WIDE CASE SERIES
Sigurjonsson Hannes 1 , Andersen Karl 1 , Gardarsdottir Marianna 1 , Petursdottir Vigdis 1 , Klemenzson Gudmundur 1 ,
Gunnarsson Gunnar Thor 1 , Gudbjartsson Tomas 1
1) Landspitali University Hospital, Iceland
Introduction
Myxoma is the most common benign primary tumor of the heart, usually presenting with symptoms of systemic
emboli or intracardiac obstruction. In recent years, incidental finding is also common. We studied all myxomas
diagnosed in a well defined population during a 23 year period.
Material and methods
A retrospective population-based study including all patients diagnosed with cardiac myxoma in Iceland from 1986
until March 1, 2009 (> 4300 operations performed). Cases were identified through three different registries and
databases.
Results
Nine cases were identified (3 males, 6 females) with mean age of 60.7 yrs (range 37-85). Age-adjusted incidence
rate was 0.12 (95% CI: 0.05-0.22) per 100.000. Eight of the tumors were located in the left atrium and one in the
right atrium. Average diameter was 4.4 cm (1.5-8.0). Dyspnea (n=5) and ischemic stroke (n=2) were the most
common symptoms. Seven of the cases were diagnosed with transthoracal echocardiography and 2 with chest CT,
one of them incidentally. All 9 patients underwent surgical resection, mean operation time being 238 min. All patients
survived surgery and atrial fibrillation (n=5) was the most common complication. Median length of hospital stay was
21 days and today (March 1, 2009), 7 of the 9 patients are alive with no signs of recurrent disease.
Conclusions
Cardiac myxomas have similar incidence, presenting symptoms and mode of detection in Iceland as in other series.
To our knowledge this is the first study reporting the incidence of cardiac myxoma in an entire population.
P01:07
TOPICAL NEGATIVE PRESSURE OVER CONVENTIONAL THERAPY OF DEEP STERNAL WOUND
INFECTION IN CARDIAC SURGERY. PROSPECTIVE ANALYSIS.
Simek Martin 1 , Hajek Roman 1 , Fluger Ivo 1 , Molitor Martin 1 , Langova Katerina 1 , Grulichova Jana 1 , Lonsky Vladimir 1
1) University Hospital Olomouc, Czech Republic
Introduction
We sought to compare clinical outcomes, in-hospital mortality and 1-year survival of two different treatment
modalities of deep sternal wound infection, topical negative pressure and the conventional therapy.
Methods
Prospective analysis of 66 consecutive patients treated for deep sternal infection at our institution. A total of 28
patients (February 2002 through September 2004) underwent conventional treatment, and 34 patients (November
2004 through December 2007) had the application of topical negative pressure. Four patients (July 2004 through
December 2004) who underwent a combination of both strategies were excluded from the study. Clinical and wound
care outcomes were compared, focusing on therapeutic failure rate, in-hospital stay and the 1-year mortality of both
treatment strategies.
Results
Topical negative pressure was associated with a significantly lower failure rate of the primary therapy (p