srjcmsSRJCMSSRJCMS2788-885110.47310/srjcms.2025.v05i01.004Right Atrial Myxomas: Clinical Insights and Long-Term Outcomes from a Case Series of 13 Patients Undergoing Surgical Resection at a Tertiary Care CenterSatyendraKumarJainM.A.GeelaniHarpreetSinghAnkitBansalSenior resident , Mch CTVS , GIPMER, DelhiHead Of Department and Director Professor, Department of CTVS, GIPMER DelhiDirector Professor, GIPMER DelhiProfessor Department Of Cardiology , GIPMER DelhiBackground: Right atrial myxomas (RAM) are a rare subset of primary cardiac tumors, comprising 10-20% of all cardiac myxomas. Surgical resection remains the gold standard for treatment, with favorable long-term outcomes reported. This study presents a case series of patients with right atrial myxomas managed by surgical excision at the Department of Cardiothoracic and Vascular Surgery (CTVS), GB Pant Hospital, New Delhi, focusing on clinical presentation, surgical techniques, and long-term outcomes.Material and Methods: This retrospective case series included 13 patients (10 females and 3 males) who underwent surgical resection of right atrial myxomas between January 2017 and December 2023. The mean age of the cohort was 45.5 ± 14.2 years (range: 22–70 years). Preoperative evaluation included echocardiography and coronary angiography as indicated. Surgical excision of the myxomas was performed under cardiopulmonary bypass (CPB) via median sternotomy. Postoperative care included monitoring for complications and regular follow-up assessments to detect any recurrence of the tumor. Descriptive statistics were used to analyze the data.Results: The most common presenting symptom was dyspnea (69.2%), followed by palpitations (46.2%) and chest pain (30.8%). Four patients (30.8%) were asymptomatic. The majority of tumors were attached to the atrial septum (61.5%), with a mean tumor size of 4.3 ± 1.4 cm. Concomitant procedures included tricuspid valve repair (23.1%) and coronary artery bypass grafting (15.4%). There were no early postoperative deaths, and the mean hospital stay was 7.6 ± 2.1 days. One patient (7.7%) developed postoperative atrial fibrillation. During a mean follow-up period of 48.3 ± 18.6 months, no recurrences were observed, and all patients were in NYHA functional class I or II.Conclusion: Surgical resection of right atrial myxomas in this series resulted in excellent clinical outcomes, with no recurrences and minimal complications. Early diagnosis and prompt surgical intervention are essential to prevent complications and ensure favorable long-term outcomes. This study reinforces the role of surgery as the standard of care for managing right atrial myxomas.