Evidence map›Paper›PMID 41425978›Full record

ArticleFrontiers in cardiovascular medicine2025

An approach of total endoscopic atrial myxoma resection without robotic assistance.

Xingming Wang, Shuai Ma, Bingbing Ma, Hourong Sun, Biao Wang, Kai Liu, Zengshan Ma

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Xingming Wang *Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Shuai Ma *Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Bingbing MaDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Hourong SunDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Biao WangDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Kai LiuDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China.
Zengshan MaDepartment of Cardiovascular Surgery, Qilu Hospital of Shandong University, Jinan, Shandong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Conventional surgery presents significant challenges for elderly patients with atrial myxoma and ascending aorta calcification. This study aims to evaluate the feasibility and safety of total thoracoscopic resection of atrial myxoma. Methods: A total of 83 patients who underwent totally thoracoscopic resection of atrial myxoma between January 2013 and April 2024 were retrospectively analyzed. Three 1.0-2.0-cm thoracic incisions were made in the right chest, and all procedures were conducted under totally thoracoscopy. Right atrial myxomas were resected via a right atrium approach, while left atrial myxomas were removed through an interatrial groove approach. For the 46 patients with ascending aortic plaque or calcification, the operations were performed on the beating heart without aortic cross-clamping. Results: The totally thoracoscopic resection of atrial myxoma was successfully performed in all patients without in-hospital mortality or a switch to the sternotomy approach. The duration of operation, CPB time, and aortic cross-clamp time in the beating-heart group were shorter than in the arrested-heart group. There were no statistically significant differences between the groups in mechanical ventilation time, duration of ICU, postoperative hospital stay, and postoperative 24-h drainage volume. The rate of tracheal extraction in the operating room was higher in the beating-heart group than that in the arrested-heart group. None of the patients required a blood transfusion or experienced serious complications. Conclusion: Total thoracoscopic resection is a feasible and safe method for addressing atrial myxomas, particularly in elderly patients with ascending aortic calcification and persistent cardiac failure.

Indexed as

beating heartcardiac surgerymyxomathoracoscopywithout robotic assistance

Identifiers

PMID41425978
PMCPMC12711804

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