Cardiac tumors: a retrospective multicenter institutional study.
Nikolaos G. BaikoussisNikolaos A. PapakonstantinouPanagiotis DedeiliasMichalis ArgiriouEfstratios ApostolakisEfstratios KoletsisDimitrios DougenisChristos Charitos
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Abstract:
Primary cardiac tumors are uncommon but not extremely rare. Cardiac tumors, mostly intracavitary, include benign and malignant tumors that arise from the endocardium, heart valves or myocardium. This retrospective study summarizes the experience of the Cardiac Surgery Departments of three tertiary Hospitals in this field, and particularly in cardiac myxomas, over the last 29 years. Herein, we present the results of cardiac tumors excision in relation to postoperative morbidity and mortality.Between 1985 and 2014, 117 patients, aged from 16 to 82 years, underwent resection of a cardiac tumor.Ninety one of the tumors (77.78%) were myxomas, 15 of them (12.82%) were other primary cardiac tumors, 7 of them (5.98%) were infra-diaphragmatic tumors and the remaining 4 tumors (3.42%) were benign intracavitary masses (thrombi). Patients operated on for a cardiac tumor had a 30-day mortality rate of 3.29%. Atrial fibrillation appeared in 21 out of 91 patients (23.07%) operated on for cardiac myxoma, while neurological complications were observed in 3 patients (3.29%). Re-exploration for bleeding was performed in 5 out of 91 cases (5.49%) and recurrence occurred in 4.39% of myxomas.Despite being rare, primary cardiac tumors require open heart intervention soon after their diagnosis in order to prevent complications and achieve low mortality rates.Keywords:
Endocardium
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Cardiothoracic surgery
Vascular surgery
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A 27-year-old asymptomatic woman was investigated for an abnormal finding in the cardiac contour on routine chest radiography. Echocardiography revealed a heterogeneous mass in the anterolateral left ventricular wall. Excision of the tumor disclosed an absence of communication between the residual cavity and the left ventricular endocardium. Histological features of the tumor indicated an intramural myxoma.
Endocardium
Left Atrial Myxoma
Heart neoplasms
Left breast
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Endocardium
Primary (astronomy)
Heart neoplasms
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Rhabdomyoma
Vascular surgery
Fibroma
Heart neoplasms
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To analyse the experience of a cardiac surgery centre with all types of cardiac interventions in the elderly in order to evaluate outcomes.The retrospective study was conducted at Middle East Hospital, Mersin, Turkey, and comprised data of patients aged 70 years who underwent cardiac surgery from December 1, 2010, to March 31, 2016. Clinical outcomes, postoperative length of hospital stay and mortality rates were evaluated. SPSS version 15 software for Windows (IBM Corporation, Armonk, NY) was used for data analysis.Of the 1920 cases, 276(14.35%) patients were aged >70 years. Of them, 70(25.4%) were males and 206(74.6%) were females. The overall mean age was 71.39±2.26 years (range: 70-82 years). Coronary artery bypass grafting was the most frequent intervention 268(97%). Of the total, 6(2.2%) patients were treated urgently and 1(0.4%) was treated very urgently. The mortality rate was 8(2.9%) Preoperative and intraoperative findings didn't affect outcomes (p>0.05), but variables predicting mortality and length of hospital stay included operation priority, postoperative neurological and pulmonary complications and wound infection (p<0.05 each).Morbidity and mortality rate was found to be acceptable in elderly patients who underwent cardiac surgery.
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Objective To analyze the clinical features in patients with primary cardiac tumors and surgical treatment of primary cardiac tumors.Methods A retrospective analysis of primary cardiac tumors patients from June 2002 to September 2012 was performed.79 patients were confirmed using cardiac echocardiography.Primary cardiac tumors were excised using general anesthesia during cardiopulmonary bypass.Results Only 5 patients relapsed after the follow-up for 6 months to 5 years.No tumor recurrence and distant metastases were found in the other patients.Conclusion Left atrial myxoma should be removed by surgical resection as soon as possible once there is a clear diagnosis.The surgical effect of left atrial myxoma is good but it may relapse.The malignant cardiac tumors progress rapidly and should be removed by early surgery combined with comprehensive treatment to improve the prognosis.
Key words:
Cardiac tumors; Surgical treatment; Myxoma
Left Atrial Myxoma
Surgical resection
Primary tumor
Atrial myxoma
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Endocardium
Primary (astronomy)
Heart neoplasms
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