Surgical treatment of primary cardiac tumors: an eleven-year experience of a single center
Surgical treatment of primary cardiac tumors: an eleven-year experience of a single center
Aim: We aimed to report our surgical experience about cardiac tumors in our hospital Material and Methods: The study enrolled 25 patients who underwent cardiac surgery for cardiac tumors between June 2009 and June 2019. Baseline clinical features, symptoms of the patients, localizations of the tumors and surgical notes of the patients were recorded.Results: In 22 of 25 patients, histopathologic result was atrial myxoma. The other three tumors were hibernoma, papillary fibroelastoma and angiosarcoma. Hibernoma was in interatrial septum, papillary fibroelastoma was on subvalvular surface of aortic valve and angiosarcoma was in right atrium invading into right ventricle. We experienced our own recurrence in one patient, also re-operated another patient who underwent the first operation in a different hospital. No death and major complication occurredduring post-operative period.Conclusion: Surgical removal of the cardiac tumors is an effective treatment with low complication and recurrence rates.
___
- 1. Yin L, He D, Shen H, et al. Surgical treatment of cardiac tumors: a 5-year experience from a single cardiac center. J Thorac Dis 2016;8:911-9.
- 2. Shah IK, Dearani JA, Daly RC, et al. Cardiac Myxomas: A 50-Year Experience With Resection and Analysis of Risk Factors for Recurrence. Ann Thorac Surg 2015 ;100:495-500.
- 3. Poterucha TJ, Kochav J, O'Connor DS, et al. Cardiac Tumors: Clinical Presentation, Diagnosis, and Management. Curr Treat Options Oncol. 2019;20:66.
- 4. Shapiro LM. Cardiac tumours: diagnosis and management. Heart2001;85:218-22.
- 5. Esposito A, De Cobelli F, Ironi G, et al. CMR in assessment of cardiac masses: primary benign tumors. JACC Cardiovasc Imaging 2014;7:733-6.
- 6. Li S, Gao Ch. Surgical Experience of Primary Cardiac Tumor: Single-Institution 23-Year Report. Med Sci Monit 2017;23:2111-7.
- 7. Reynen K. Cardiac myxomas. N Engl J Med 1995; 333:1610-7.
- 8. Cianciulli TF, Cozzarin A, Soumoulou JB, et al. Twenty Years of Clinical Experience with Cardiac Myxomas: Diagnosis, Treatment, and Follow Up. J Cardiovasc Imaging 2019;27:37-47.
- 9. Pinede L, Duhaut P, Loire R. Clinical presentation of left atrial cardiac myxoma. A series of 112 consecutive cases. Medicine (Baltimore) 2001;80:159-72.
- 10. Obrenović-Kirćanski B, Mikić A, Parapid B, et al. A 30-year-single-center experience in atrial myxomas: from presentation to treatment and prognosis. Thorac Cardiovasc Surg 2013;61:530-6.
- 11. Hoffmeier A, Sindermann JR, Scheld HH, et al. Cardiac tumors--diagnosis and surgical treatment. Dtsch Arztebl Int. 2014;111:205-11.
- 12. Bortolotti U, Maraglino G, Rubino M, et al. Surgical excision of intracardiac myxomas: a 20-year followup. Ann Thorac Surg 1990;49:449-53.
- 13. Chitwood WR Jr. Clarence Crafoord and the first successful resection of a cardiac myxoma. Ann Thorac Surg 1992;54:997-8.
- 14. Larsson S, Lepore V, Kennergren C. Atrial myxomas: results of 25 years' experience and review of the literature. Surgery 1989;105:695-8.
- 15. Lukács L, Lengyel M, Szedö F, et al. Surgical treatment of cardiac myxomas: a 20-year follow-up. Cardiovasc Surg 1997;5:225-8.
- 16. Frequency of left atrial myxoma with concomitant coronary artery disease. Erdil N, Ates S, Cetin L, et al. Surg Today 2003;33:328-3.
- 17. Mariscalco G, Bruno VD, Borsani P, et al. Papillary fibroelastoma: insight to a primary cardiac valve tumor. J Card Surg 2010;25:198-205.
- 18. Keskin H, Özçobanoğlu S, Özbilim G. Mediastinal hibernoma: An uncommon tumor. Turk Gogus Kalp Damar Cerrahisi Derg 2019;27:248-55.
- 19. Di Tommaso L, Chiesa G, Arena V, et al. Cardiac hibernoma: a case report. Histopathology. 2012;61:985-7.