Ali Vefa ÖZCAN, Tevfik GÜNEŞ, Bilgin EMRECAN, Gökhan ÖNEM, İbrahim GÖKŞİN, İhsan ALUR

Intracardiac tumors: results from a single heart cente

Amaç: Bu çalışmada kalp cerrahisi merkezimizde kalp içi tümörlerin cerrahi tedavi sonuçları sunuldu.Ça lış ma pla nı: Nisan 2006 - Mayıs 2015 tarihleri arasında ameliyat edilen kalp içi tümörlü 21 hastanın (15 erkek, 6 kadın; ort. yaş 60.9 yıl; dağılım 35-87 yıl) verileri retrospektif olarak incelendi. Hastalara ameliyat öncesi transtorasik ekokardiyografi ve bilgisayarlı tomografi veya manyetik rezonans görüntüleme ile tanı kondu.Bul gu lar: Ortalama takip süresi 27.85 aydı. Yirmi bir hastanın 12'sinde benign ve dokuzunda malign tümör tespit edildi. Benign tümörlerin dokuzu miksoma, biri intramusküler lipom, biri interatriyal septal lipom ve biri papiller fibroelastom idi. Malign tümörlerin sekizi metastatik ve biri primer tümör idi. Tüm hastalarda kalbe ulaşmak için medyan sternotomi yapıldı. Bazı hastalarda cerrahi sırasında kardiyak kitle nedeniyle trombüsler tespit edildi.So nuç: Çalışma sonuçlarımız kalp içi trombüs ve tümörlerinin tanısında önemli düzeyde bir karışıklık olduğunu göstermektedir. Bu nedenle, başka bir neden tespit edilemediğinde, plevral veya perikardiyal efüzyonlu hastalarda metastatik kardiyak tümörler akla gelmelidir

Kalp içi tümörler: Tek kalp merkezinin sonuçları

Background: This study aims to present the results of surgical treatment of intracardiac tumors in our cardiac surgery center.Methods: Data of 21 patients with intracardiac tumors (15 males, 6 females; median age 60.9 years; range 35 to 87 years) who underwent surgery between April 2006 and May 2015 were retrospectively analyzed. The patients were diagnosed preoperatively by transthoracic echocardiography and computed tomography or magnetic resonance imaging.Results: The mean follow-up was 27.85 months. Of 21 patients, 12 had benign tumors and nine had malignant tumors. Of the benign tumors, nine were myxomas, one was an intramuscular lipoma, one was an interatrial septal lipoma, and one was a papillary fibroelastoma. Of the malignant tumors, eight were metastatic tumors and one was a primary tumor. Median sternotomy was performed in all patients to access the heart. Thrombi due to a cardiac mass were detected intraoperatively in some patients.Conclusion: Our study results suggest a high-degree of diagnostic confusion between intracardiac thrombi and tumors. Therefore, metastatic cardiac tumors should be considered in patients with pleural or pericardial effusion of no other identified cause.

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