ObjectivePrimary cardiac tumors are rare lesions with different histological type. We
reviewed our 17 years of experience in the surgical treatment and clinical
results of primary non-myxoma cardiac tumors.MethodsBetween July 2000 and February 2017, 21 patients with primary cardiac tumor
were surgically treated in our institution. The tumors were categorized as
benign non-myxomas and malignants. Data including the demographic
characteristics, details of the tumor histology and grading, cardiac medical
and surgical history, surgical procedure of the patients were obtained from
the hospital database.ResultsEleven patients were diagnosed with benign non-myxoma tumor
(male/female:7/4), ranging in age from 10 days to 74 years (mean age
30.9±26.5 years). Papillary fibroelastoma was the most frequent type
(63.6%). There were two early deaths in benign group (all were rhabdomyoma),
and mortality rate was 18%. The mean follow-up period was 69.3±58.7
months (range, 3 to 178 months). All survivals in benign group were free of
tumor-related symptoms and tumor relapses. Ten patients were diagnosed with
malignant tumor (sarcoma/lymphoma:8/2, male/female:3/7), ranging in age from
14 years to 73 years (mean age 44.7±18.9 years). Total resection
could be done in only three (30%) patients. The mean follow-up period was
18.7±24.8 months (range, 0-78 months). Six patients died in the first
10 months.ConclusionComplete resection of the cardiac tumors, whenever possible, is the main goal
of surgery. Surgical resection of benign cardiac tumors is safe, usually
curative and provides excellent long-term prognosis. On the contrary,
malignant cardiac tumors still remain highly lethal.