Primary Cardiac Tumors and Long-Term Results of Surgery: A 38-Year Experience in 81 Patients
Ankara Üniversitesi Tıp Fakültesi Mecmuası, cilt.72, sa.1, ss.97-101, 2019 (Hakemli Dergi)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 72 Sayı: 1
- Basım Tarihi: 2019
- Doi Numarası: 10.4274/atfm.galenos.2019.30602
- Dergi Adı: Ankara Üniversitesi Tıp Fakültesi Mecmuası
- Sayfa Sayıları: ss.97-101
- Hacettepe Üniversitesi Adresli: Evet
Özet
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.