Primary Cardiac Tumors and Long-Term Results of Surgery: A 38-Year Experience in 81 Patients
Journal Title: Journal of Ankara University Faculty of Medicine - 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
Related Articles
- EP ID EP48712
- DOI 10.4274/atfm.galenos.2019.30602
- Views 268
- Downloads 0
Comparison of the Effects of Bare Metal Stents and Drug Eluting Stents on C-Reactive Protein Levels
Objectives: It is suggested that drug eluting stents (DES) may have systemic anti-inflammatory properties and this can play a role in decreased restenosis rates. We aimed to compare bare metal stents (BMS) and DES for th...
Trauma-related Admissions to Intensive Care Unit: Single Center Experience for Major Trauma
Objectives: Major trauma is one of the main reasons for admission to the intensive care unit (ICU) with the increase in complications and mortality. The aim of this study is to investigate the complications and character...
Direct and Indirect Cost Analysis for Emergency Department Patients
Objectives: To determine the use of resources and workforce in the actual procedure time of the patient in the emergency department (ED), and to determine the total costs according to the triage levels and the factors af...
Morphometric Analysis of the Clivus in Human Dry Skulls: A Radioanatomical Study
Objectives: This study aims to reveal morphometric properties of the clivus including length, width and angle to the base of the skull from the perspective of skull base procedures. Materials and Methods: Twenty-four hu...
A Guide to Reporting of Cohort Studies in Surgery; Turkish Adaptation of STROCSS Criteria
Objectives: In this study, it was aimed to adapt the 17-item (37 sub-items) STROCSS (Strengthening the Reporting of Cohort Studies in Surgery) criteria published in 2017 by a group of experts to improve the reporting qua...