Primary Cardiac Tumors and Long-Term Results of Surgery: A 38-Year Experience in 81 Patients
Journal Title: Çocuk Acil ve Çocuk Yoğun Bakım Dergisi - Year 2019, Vol 72, Issue 1
Abstract
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 tumors were 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 left ventricle in 3 cases (3.7%). The surgical method was uniatrial in 47 patients (58%). Bilateral atriotomy was performed in 26 patients (32%). The incidence 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 patients with myxomas. Conclusion: Surgical resection of primary cardiac tumors with negative margins have excellent long-term survival which are similar to general population.
Authors and Affiliations
Ulaş Kumbasar, Ahmet Aydın, Timuçin Sabuncu, Murat Güvener, Mustafa Yılmaz, Rıza Doğan, Metin Demircin
Keywords
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- EP ID EP670526
- DOI 10.4274/atfm.galenos.2019.30602
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