Evidence map›Paper›PMID 41092019›Full record

SynthesisInterdisciplinary cardiovascular and thoracic surgery2025

Surgically Treated Left Ventricular Myxomas: A 75-Year Systematic Review of Patient Demographics, Tumour Characteristics, and Outcomes.

Hamza A Abdul-Hafez, Asmaa Sarama, Tammah Safadi, Mahmoud N Khadra, Hasan Husni Salman, Ahmad K Darwazah, Hasan Alkhatib

Abstract readSystematic Review
In one paragraph

Synthesis in Interdisciplinary cardiovascular and thoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hamza A Abdul-HafezDepartment of Medicine, Faculty of Medicine and Public Health, An-Najah National University, Nablus P4110257, Palestine.
Asmaa SaramaDepartment of Medicine, Faculty of Medicine and Public Health, An-Najah National University, Nablus P4110257, Palestine.
Tammah SafadiDepartment of Cardiothoracic Surgery, Al-Makassed Charitable Society Hospital, Jerusalem, Palestine.
Mahmoud N KhadraDepartment of Medicine, Faculty of Medicine and Public Health, An-Najah National University, Nablus P4110257, Palestine.
Hasan Husni SalmanCardiac Surgery Department, Alrazi Hospital, Jenin, Palestine.
Ahmad K DarwazahDepartment of Cardiac Surgery, Palestine Medical Complex, Ramallah, Palestine.
Hasan AlkhatibDepartment of Cardiothoracic Surgery, Al-Makassed Charitable Society Hospital, Jerusalem, Palestine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCardiac myxomas are rare primary heart tumours, most commonly originating in the left atrium. A smaller proportion occurs in the left ventricle, where they are even more uncommon and present unique diagnostic and therapeutic challenges. This systematic review aims to characterize the clinical features, management strategies, and outcomes of left ventricular cardiac myxomas.

methodsA systematic search of the PubMed database was conducted to identify articles published up to May 2025. A total of 174 cases of surgically treated left ventricular myxomas were included. Data were extracted on patient demographics, tumour characteristics, surgical approaches, and follow-up outcomes.

resultsPatients showed a broad geographic distribution, with the highest number of cases reported from the United States. The mean age was 38.2 ± 20.37 years, with a slight female predominance (48.9%). Tumours were most commonly attached to the left ventricular wall (43.7%) and inter-ventricular septum (25.3%). Complete surgical excision was achieved in 92.5% of cases and was strongly associated with survival; nearly all patients with complete resection survived, compared to only 20% among those without. Overall postoperative survival was high (83.9%), with a low mortality rate (2.9%). Survival rates were comparable across genders and age groups, although paediatric patients had a slightly higher mortality rate (9.1%).

conclusionsThis systematic review represents the most comprehensive analysis to date of surgically treated left ventricular myxomas. The findings highlight the importance of complete excision in achieving favourable outcomes and highlight demographic and geographic patterns that can inform clinical suspicion, surgical planning, and patient counselling.

Indexed as

Cardiac Surgical ProceduresHeart NeoplasmsHeart VentriclesMyxomaAdultAgedFemaleHumansMaleMiddle AgedRisk FactorsTime FactorsTreatment OutcomeYoung Adultcardiac myxomaleft ventricular myxomaprimary cardiac tumoursystematic review

Identifiers

PMID41092019
PMCPMC12782727

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