Cor Vasa 2026, 68(2):157-160 | DOI: 10.33678/cor.2025.095

Clinical Presentation of Cardiac Myxoma at Tertiary Referral Hospital in East Indonesia

Yan Efrata Sembiring^{a, b}, Muhammad Husein Dzikrillah^c, Ali Mustofa^c, Oky Revianto Sediono Pribadi^{a, b}, Danang Himawan Limanto^{a, b}, Edwin Yosef Widjaja^{a, b}, Heroe Soebroto^{a, b}, Jeffrey Jeswant Dillon^{b, d}, Pandit Bagus Tri Saputra^{e, f}

^a Department of Thoracic Cardiac and Vascular Surgery, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia

^b Department of Thoracic Cardiac and Vascular Surgery, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia

^c Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia

^d Department of Cardiology, Cardiothoracic Surgery, Institut Jantung Negara, Kuala Lumpur, Malaysia

^e Department of Cardiology and Vascular Medicine, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia

^f Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia

Introduction: Cardiac myxoma is the most common benign cardiac tumor. Despite global data availability, there is a lack of published literature on its clinical characteristics in Indonesia. This study aims to describe the clinical presentation and surgical outcomes of cardiac myxoma cases treated at a tertiary referral hospital in East Indonesia.

Methods: A retrospective review was conducted on patients who underwent surgical resection for cardiac myxoma between January 2020 and August 2024. Clinical data including demographics, symptoms, tumor characteristics, diagnostic methods, and surgical outcomes were analyzed descriptively.

Results: Twenty patients were included, predominantly female (70%) with a mean age of 47.0 ± 13.66 years. The most common symptom was dyspnea (90%), followed by lethargy (50%), cough (30%), and chest pain (20%). All tumors were located in the atria, with 95% in the left atrium. Transthoracic echocardiography was the sole imaging modality used preoperatively. Surgical outcomes showed a 10% mortality rate over the four-year period.

Conclusion: Cardiac myxoma predominantly affects middle-aged women and is most frequently located in the left atrium. Echocardiography remains the primary and effective diagnostic tool. Surgical resection offers good outcomes, although larger multicenter studies are necessary to provide more comprehensive data and inform national clinical practice guidelines.

Keywords: Cardiac myxoma, Cardiac surgery, Cardiac tumor, Clinical presentation, Indonesia

Received: July 17, 2025; Revised: August 10, 2025; Accepted: September 1, 2025; Prepublished online: June 2, 2012; Published: May 20, 2026  Show citation