Surgical experience with 77 primary cardiac tumors

Bossert, Torsten; Gummert, Jan; Battellini, Roberto; Richter, Markus; Barten, Markus J.; Walther, Thomas; Falk, Volkmar; Mohr, Friedrich W.

doi:10.1510/icvts.2004.103044

Cited by 81 publications

(69 citation statements)

References 21 publications

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“…Myxomas, most common primary cardiac tumors, are usually located in the LA and RA, and are rarely seen in left and right ventricle. As to non-myxomas cardiac tumors, ventricles are the most susceptible chambers, our patients also confirm to the location distribution of relative tumor occurrence as evident in other series (22)(23)(24).…”

supporting

confidence: 89%

Surgical treatment of cardiac tumors: a 5-year experience from a single cardiac center

Liang

Shen

et al. 2016

J. Thorac. Dis.

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Background: Cardiac tumors are rare but manifested with various clinical presentations and often cause unexpected symptoms or sudden death. The objective is to review the clinical presentation, histopathological spectrum, mortality and follow-up data of patients with cardiac tumors following surgery treatment over a period of 5 years. Methods:We retrospectively collected the medical records of all patients diagnosed of cardiac tumors in the period between January 2008 and December 2013 at the cardiac center of our university. Clinical histories, perioperative data, surgical findings, efficacy and follow-up data were reviewed in our study.Patients were divided into two groups according to site distribution of the tumors in the heart.Results: A total of 131 patients underwent surgical treatment of cardiac tumors were enrolled in this study, with a mean age of 51.39±16.37. The result of analysis showed that 79.47% (n=104) of the primary intracardiac tumors were benign, while primary malignant neoplasms accounted for 16.03% (n=21) of all patients, with the remainder (n=6, 4.6%) metastatic tumors transferred from other organs. Among all patients there were 2 in-hospital deaths and the survival rate in all patients at 1-year, 3-year and 5-year follow up was 83.20%, 78.62% and 66.41% respectively. Both patients with tumors in the left and right heart had similar basic characteristics except sex gender (P=0.002), BSA (P=0.045) and weight (P=0.033). Compared with patients with tumors in the right heart, patients with tumors in the left heart had significant higher CPB time (P<0.001), cross clamp time (P<0.001) and time of mechanical ventilation (P<0.001), and they also had longer ICU stay (P<0.001) but not total hospital stay (P=0.434).Conclusions: Surgical resection represents an effective protocol in treating cardiac tumors. Data in our study of cardiac tumors on frequency and allocation were consistent with previous reports which may provide useful clinical evidence on shared data, and data revealed that patients with malignant cardiac tumors had significant lower survival both in hospital and long-term follow-up.

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confidence: 89%

Surgical treatment of cardiac tumors: a 5-year experience from a single cardiac center

Liang

Shen

et al. 2016

J. Thorac. Dis.

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“…Bossert et al [3] reported anomalous presentation of cardiac tumors in a study of 77 patients that underwent surgical treatment, with 59 of them presenting myxoma. Among them, 44 were located in the LA, 4 in the right atrium (RA), 10 cases were biatrial and 1 patient had myxoma in the LV.…”

Section: Discussionmentioning

confidence: 99%

Mixoma atrial esquerdo múltiplo

Pontes¹,

Silva²,

Benfatti³

et al. 2011

Rev Bras Cir Cardiovasc

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Primary cardiac tumors are infrequent, with an incidence between 0.001% and 0.2%, mostly comprising benign histological characteristics in 75% of these cases. Myxomas account for approximately 50% of these neoplasms. As regards location, 75-80% of myxomas are in the left atrium, 18% in the right atrium, and more rarely in the ventricles. We report a case of a patient in functional class (FC) IV New York Heart Association (NYHA) and postoperative histological diagnosis of multilobular myxoma originating in the posterior left atrial wall. Clinical evaluation 3 months after surgery suggested NYHA functional class I and echocardiographic absence of intracardiac masses.Descriptors: Myxoma. Heart neoplasms. Heart atria. ResumoOs tumores primários cardíacos são infrequentes, apresentando incidência entre 0,001% a 0,2%, com características histológicas benignas em 75% dos casos. Os mixomas correspondem a aproximadamente 50% dessas neoplasias. Quanto à localização, 75 a 80% dos mixomas estão no átrio esquerdo, 18% no átrio direito, e mais raramente nos ventrículos. Relatamos o caso de um paciente em classe funcional (CF) IV New York Heart Association (NYHA) e diagnóstico anatomopatológico pós-operatório de mixoma multilobular originário na parede posterior atrial esquerda. À avaliação clínica no 3º mês pós-operatório se encontrava em CF I NYHA e a ecocardiográfica com ausência de massas intracardíacas.Descritores: Mixoma. Neoplasias cardíacas. Átrios do coração.

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“…3,4) Needless to say, the widespread use of TTE as well as TEE has led to earlier diagnosis and treatment of intracardiac tumors. Two-dimensional echocardiography is the optimal noninvasive technique for imaging small masses (<1 cm) or masses arising from the heart valves, since it provides excellent morphological and functional information 1,5) In addition, since Bootsvelt et al 6) first reported the detection of CPE by MDCT, it has been used as a diagnostic tool along with echocardiography and magnetic resonance imaging.…”

Section: Discussionmentioning

confidence: 99%

Papillary Fibroelastoma of the Aortic Valve Visualized by 320-slice Computed Tomography: Report of a Case

Kin

Koizumi

Yoshioka

et al. 2011

ATCS

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A 72-year-old man presented with a papillary fibroelastoma on the non-coronary cusp of the aortic valve. He was asymptomatic, with a history of hypertension and paroxysmal atrial fibrillation. Echocardiography revealed a mobile, round mass (13 × 15 mm) on the non-coronary cusp of the aortic valve. Scanning with 320-slice multi-detector row computed tomography (MDCT) also revealed a mass on the non-coronary cusp of the aortic valve. The tumor was subsequently excised from the aortic valve. In this case, the MDCT images were extremely clear and provided useful information like that obtained with echocardiography.

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Surgical experience with 77 primary cardiac tumors

Cited by 81 publications

References 21 publications

Surgical treatment of cardiac tumors: a 5-year experience from a single cardiac center

Surgical treatment of cardiac tumors: a 5-year experience from a single cardiac center

Mixoma atrial esquerdo múltiplo

Papillary Fibroelastoma of the Aortic Valve Visualized by 320-slice Computed Tomography: Report of a Case

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