Twenty years experience in oncologic surgery for primary cardiac tumors.
G Chir
; 34(4): 106-11, 2013 Apr.
Article
in En
| MEDLINE
| ID: mdl-23660160
ABSTRACT
INTRODUCTION:
Primary cardiac tumors are uncommon in cardiac surgery. To investigate the clinical presentation, surgical results and long-term follow-up we retrospectively analyzed our experience in the treatment of primary cardiac tumors. PATIENTS ANDMETHODS:
Ninety-one patients with primary cardiac tumors underwent surgery in our department in the last 20 years. Fifty-one patients were female, the mean age was 62,2 years. Sixty-three had myxomas, 22 had papillary fibroelastoma, 4 had malignant neoformations and 2 had other benign tumors.RESULTS:
All myxomas, fibroelastomas and angiomyolipoma were radically removed. Only a palliative treatment was possible in malignant disease. In-hospital mortality was 1.2%. The mean follow-up time was 78.5 months. Three patients had recurrence of myxoma, all patients with malignant disease dead during the follow-up.DISCUSSION:
Primary benign cardiac tumors can be treated with low morbidity and mortality. The follow-up demonstrates that radical surgery is curative in case of benign tumors. The prognosis of malignant tumors is still poor. Palliative procedures have small impact on survival in these patients.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Papillary Muscles
/
Angiomyolipoma
/
Fibroma
/
Heart Neoplasms
/
Cardiac Surgical Procedures
/
Myxoma
/
Neoplasm Recurrence, Local
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Europa
Language:
En
Journal:
G Chir
Year:
2013
Document type:
Article
Affiliation country: