Embolic Potential of Cardiac Tumors and Outcome After Resection

ElBardissi, Andrew W.; Dearani, Joseph A.; Daly, Richard C.; Mullany, Charles J.; Orszulak, Thomas A.; Puga, Francisco J.; Schaff, Hartzell V.

doi:10.1161/strokeaha.108.525709

Cited by 106 publications

(79 citation statements)

References 33 publications

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“…A recent study suggested that surgical resection in the context of a recent embolic event, including ischemic stroke, is safe, with excellent long-term outcomes in patients with cardiac tumors. 9 In our case, surgical tumor resection was safe and successful, resulting in no neurologic deterioration and prolongation of life.…”

Section: Discussionmentioning

confidence: 50%

A Case of Cerebral Embolism With Metastatic Chondrosarcoma in the Left Atrium

Oizumi

Tanaka

Shimura

et al. 2011

Journal of Stroke and Cerebrovascular Diseases

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Section: Discussionmentioning

confidence: 50%

A Case of Cerebral Embolism With Metastatic Chondrosarcoma in the Left Atrium

Oizumi

Tanaka

Shimura

et al. 2011

Journal of Stroke and Cerebrovascular Diseases

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“…Interference with the heart valves or direct invasion of the myocardium can also cause arrhythmia, heart block, or pericardial effusion [6, 8]. …”

Section: Discussionmentioning

confidence: 99%

Primitive Tumour of the Pulmonary Valve: Discussion of the Differential Diagnosis

Hannecart

Ndjekembo-Shango

Vallot

et al. 2017

Case Reports in Critical Care

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There is a paucity of information concerning cardiac tumours of the pulmonary valve due to their rarity at this location. We report a case of a 47-year-old patient suffering from haemoptysis, asthenia, and acute kidney injury (AKI). A transthoracic echocardiography (TTE) revealed a mass on the pulmonary valve. Further diagnostic investigation was completed until he exhibited worsening hemodynamic instability. This case emphasizes the lack of information regarding the management of a pulmonary valve tumour.

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“…Emboli may arise from tumor fragmentation or detachment of the entire tumor or from thrombi or infected foci on the neoplasm [4,23]. Three patients in this cohort (2 with papillary fibroelastoma and 1 with sarcoma) presented with cerebral embolism, which is associated with these pathological types [11,31]. The incidence of embolism varies with different tumors and is believed to be related to the size and mobility of the tumor [27,32].…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment for Primary Mitral Valve Tumor: A 25-Year Single-Center Experience

Ma²,

Sun³

et al. 2011

Cardiology

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Objective: Primary mitral valve (MV) tumor is a rare lesion, and to date, there have been few larger surgical series of MV tumors. We retrospectively analyzed 11 cases of primary MV tumors regarding clinical and pathological features, surgical procedure and long-term outcomes. Methods: From November 1983 to December 2008, we operated on 11 patients (age 36.3 ± 17.7 years, weight 55.4 ± 11.2 kg) with primary MV tumors. Symptoms were cardiac in 8 cases (72.7%) and neurologic in 3 (26.3%). Surgical procedures included en bloc excision and MV repair in 8 cases and tumor resection and MV replacement in 3. No radiotherapy or chemotherapy was given to patients with malignant tumors. Results: Pathological diagnosis was papillary fibroelastoma in 3 cases, myxoma in 3, lymphangioma in 1, lipoma in 1, hemangioma in 1 and sarcoma in 2. No early deaths or complications occurred. Late death occurred in 2 patients with sarcoma 1 year postoperatively. At the latest follow-up, with a maximum of 25 years (mean 10.6 ± 8.8), the 9 survivors were in New York Heart Association functional class I with normal MV function and no echocardiographic evidence of local recurrence. Conclusions:The majority of primary MV tumors are benign. They can cause cardiac or neurologic symptoms and should be excised as soon as a diagnosis is made. For benign tumors, valve-sparing resection and valve repair are often possible with excellent long-term outcomes. The prognosis of malignant MV tumors is poor.

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Embolic Potential of Cardiac Tumors and Outcome After Resection

Abstract: Background and Purpose-Embolic events have long been thought to occur in patients with cardiac tumors secondary to embolization of tumor fragments; however, there are no large studies examining the epidemiology and occurrence of embolism in this group of patients. Methods-From

Cited by 106 publications

References 33 publications

A Case of Cerebral Embolism With Metastatic Chondrosarcoma in the Left Atrium

A Case of Cerebral Embolism With Metastatic Chondrosarcoma in the Left Atrium

Primitive Tumour of the Pulmonary Valve: Discussion of the Differential Diagnosis

Surgical Treatment for Primary Mitral Valve Tumor: A 25-Year Single-Center Experience

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