Rıza DOĞAN, Timuçin SABUNCU, Mustafa YILMAZ, Metin DEMİRCİN, Ulaş KUMBASAR, Murat GÜVENER, Ahmet AYDIN

Primer Kardiyak Tümörler ve Cerrahinin Uzun Dönem Sonuçları: 81 Hastaya Ait 38 Yıllık Tecrübe

Amaç: Bu tek merkezli çalışmada, kurumumuzun primer kardiyak tümörler nedeniyle opere edilmiş 81 hastadaki 38 yıllık tecrübesini gözden geçirdik. Gereç ve Yöntem: Bu çalışmaya dahil edilen 81 hastanın %95’inde (n=77) benign %5’inde (n=4) ise malign tümörler bulunmaktaydı. Benign tümörler, miksomaları (n=66, %81,5), rabdomyomaları (n=9, %11,1) ve papiller fibroelastomaları (n=2, %2,5) içeriyordu. Malign tümörler ise anjiosarkomaları (n=2, %2,5) ve rabdomyosarkomaları (n=2, %2,5) kapsamaktaydı. Başvuru sırasında en sık görülen semptomlar disepne (%49,4), çarpıntı (%30,9) ve sistemik embolizasyondu (%14,8). Tümörler, 61 olguda (%75,3) sol atriumdan, 12 olguda (%14,8) sağ atriumdan 5 olguda (%6,2) sağ ventrikülden ve 3 olguda (%3,7) sol ventrikülden köken alıyordu. Cerrahi yaklaşım, 47 olguda (%58) uniatriyaldi. Bilateral atriyotomi 26 hastada (%32) uygulandı. Postoperatif komplikasyon insidansı %14,8 (n=12) olarak tespit edildi. Bulgular: Hastane içi ölüm (30 günlük), %4,9’du (n=4). Miksomalarla karşılaştırıldığında, diğer benign ve malign tümörlerin sürvilerinin karakteristiklerinin daha kötü olduğu görüldü. Sonuç: Primer kardiyak tümörlerin, negatif sınırlar ile cerrahi rezeksiyonu, çok iyi uzun dönem sağkalım sağlamaktadır; kardiyak miksomalı hastaların sağkalım karakteristikleri genel popülasyon ile benzerlik göstermektedir

Primary Cardiac Tumors and Long-Term Results of Surgery: A 38-Year Experience in 81 Patients

Objectives: In this study, we examined our 38 years of institutional experience with 81 patients operated for primary cardiac tumor.Materials and Methods: Among the 81 patients included, 95% (n=77) had benign tumors and 5% (n=4) had malignant tumors. Benign tumorswere myxomas (n=66, 81.5%), rhabdomyomas (n=9, 11.1%) and papillary fibroelastomas (n=2, 2.5). Malignant tumors included angiosarcomas (n=2,2.5%) and rhabdomyosarcomas (n=2, 2.5%). Common symptoms of admission were dyspnea (49.4%), palpitation (30.9%) and systemic embolization(14.8%). Tumors originated from the left atrium in 61 cases (75.3%), right atrium in 12 cases (14.8%), right ventricle in 5 cases (6.2%) and leftventricle in 3 cases (3.7%). The surgical method was uniatrial in 47 patients (58%). Bilateral atriotomy was performed in 26 patients (32%). Theincidence of postoperative complication was 14.8% (n=12).Results: In-hospital (30 day) mortality was 4.9% (n=4). The survival of other benign tumors and malignant tumors were poorer than the patientswith myxomas.Conclusion: Surgical resection of primary cardiac tumors with negative margins have excellent long-term survival which are similar to generalpopulation.

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