Öz
Kaynakça
- 1. Yanagawa B, Mazine A, Chan EY, Barker CM, Gritti M, Reul RM, et al. Surgery for Tumors of the Heart. Seminars in Thoracic and Cardiovascular Surgery 2018; 30: 385-97.
- 2. Basso C, Rizzo S, Valente M, Thiene G. Cardiac masses and tumours. Heart 2016; 102: 1230-45.
- 3. Hudzik B, Miszalski-Jamka K, Glowacki J, Lekston A, Gierlotka M, Zembala M, et al. Malignant tumors of the heart. Cancer Epidemiol 2015; 39: 665-72.
- 4. Maleszewski JJ, Larsen BT, Kip NS, Castonguay MC, Edwards WD, Carney JA, et al. PRKAR1A in the development of cardiac myxoma: a study of 110 cases including isolated and syndromic tumors. A J Surg Pathol 2014; 38: 1079-87.
- 5. 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.
- 6. Symbas PN, Hatcher CR Jr, Gravanis MB. Myxoma of the heart: clinical and experimental observations. Ann Surg 1976; 183: 470-5.
- 7. Taş S, Tunçer E, Boyacıoğlu K, Antal Dönmez A, Bakal Bengi R, Kayalar N, et al. Cardiac myxomas: a 27-year surgical experience. Turk Gogus Kalp Dama 2014; 22: 526-33.
- 8. Centofanti P, Di Rosa E, Deorsola L, Dato GM, Patanè F, La Torre M, et al. Primary cardiac tumors: early and late results of surgical treatment in 91 patients. Ann Thorac Surg 1999; 68: 1236-41.
- 9. Samanidis G, Khoury M, Balanika M, Perrea DN. Current challenges in the diagnosis and treatment of cardiac myxoma. Kardiol Pol 2020; 78: 269-77.
- 10. Mügge A, Daniel WG, Haverich A, Lichtlen PR. Diagnosis of noninfective cardiac mass lesions by two-dimensional echocardiography. Comparison of the transthoracic and transesophageal approaches. Circulation 1991; 83: 70-8.
- 11. Jones DR, Warden HE, Murray GF, Hill RC, Graeber GM, Cruzzavala JL, et al. Biatrial approach to cardiac myxomas: a 30-year clinical experience. Ann Thorac Surg 1995; 59: 851-5; discussion 5-6.
- 12. Bahnson HT, Newman EV. Diagnosis and surgical removal of intracavitary myxoma of the right atrium. Bull Johns Hopkins Hosp 1953; 93: 150-63.
- 13. Chitwood WR, Jr. Clarence Crafoord and the first successful resection of a cardiac myxoma. Ann Thorac Surg 1992; 54: 997-8.
- 14. Kadiroğulları E, Onan B, Aydın Ü, Başgöze S, Şen O. A comparison of robotically-assisted endoscopic versus sternotomy approach for myxoma excision: A single-center experience. Turk gogus Kalp Damar Cerrahisi Derg 2020; 28: 450-9.
Öz
Objective: Intracardiac masses are highly rare and challenging to diagnose and treat. Surgical resection is typically the only treatment option for most simple primary cardiac masses upon diagnosis. In this retrospective study, we provided our clinical experience, surgical technique, and early and midterm outcomes for patients who underwent surgery for intracardiac mass.
Materials and Methods: Ten patients who underwent surgical treatment in our department because of an intracardiac mass over a three-year period were included in the study. Under general anesthesia, all surgeries were conducted electively by median sternotomy.
Results: The mean age of the patients was 61.8±15.25 years. In eight patients, a left atriotomy was performed, whereas two individuals underwent a right atriotomy. Mitral valve replacement was the most prevalent concomitant procedure (n=3, 30%), followed by coronary artery bypass grafting (n=2, 20%) and patent foramen ovale repair (n=1, 10%). Two patients died from non-cardiac causes during the early postoperative period. The median follow-up duration was 45.57 months and during the follow‐up period, no patient experienced a recurrence.
Conclusions: Cardiac masses can present with various clinical symptoms, and when required, successful surgical excision with low morbidity and mortality can be performed with the help of preoperative advanced imaging techniques and careful clinical evaluation.
Anahtar Kelimeler
Kaynakça
- 1. Yanagawa B, Mazine A, Chan EY, Barker CM, Gritti M, Reul RM, et al. Surgery for Tumors of the Heart. Seminars in Thoracic and Cardiovascular Surgery 2018; 30: 385-97.
- 2. Basso C, Rizzo S, Valente M, Thiene G. Cardiac masses and tumours. Heart 2016; 102: 1230-45.
- 3. Hudzik B, Miszalski-Jamka K, Glowacki J, Lekston A, Gierlotka M, Zembala M, et al. Malignant tumors of the heart. Cancer Epidemiol 2015; 39: 665-72.
- 4. Maleszewski JJ, Larsen BT, Kip NS, Castonguay MC, Edwards WD, Carney JA, et al. PRKAR1A in the development of cardiac myxoma: a study of 110 cases including isolated and syndromic tumors. A J Surg Pathol 2014; 38: 1079-87.
- 5. 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.
- 6. Symbas PN, Hatcher CR Jr, Gravanis MB. Myxoma of the heart: clinical and experimental observations. Ann Surg 1976; 183: 470-5.
- 7. Taş S, Tunçer E, Boyacıoğlu K, Antal Dönmez A, Bakal Bengi R, Kayalar N, et al. Cardiac myxomas: a 27-year surgical experience. Turk Gogus Kalp Dama 2014; 22: 526-33.
- 8. Centofanti P, Di Rosa E, Deorsola L, Dato GM, Patanè F, La Torre M, et al. Primary cardiac tumors: early and late results of surgical treatment in 91 patients. Ann Thorac Surg 1999; 68: 1236-41.
- 9. Samanidis G, Khoury M, Balanika M, Perrea DN. Current challenges in the diagnosis and treatment of cardiac myxoma. Kardiol Pol 2020; 78: 269-77.
- 10. Mügge A, Daniel WG, Haverich A, Lichtlen PR. Diagnosis of noninfective cardiac mass lesions by two-dimensional echocardiography. Comparison of the transthoracic and transesophageal approaches. Circulation 1991; 83: 70-8.
- 11. Jones DR, Warden HE, Murray GF, Hill RC, Graeber GM, Cruzzavala JL, et al. Biatrial approach to cardiac myxomas: a 30-year clinical experience. Ann Thorac Surg 1995; 59: 851-5; discussion 5-6.
- 12. Bahnson HT, Newman EV. Diagnosis and surgical removal of intracavitary myxoma of the right atrium. Bull Johns Hopkins Hosp 1953; 93: 150-63.
- 13. Chitwood WR, Jr. Clarence Crafoord and the first successful resection of a cardiac myxoma. Ann Thorac Surg 1992; 54: 997-8.
- 14. Kadiroğulları E, Onan B, Aydın Ü, Başgöze S, Şen O. A comparison of robotically-assisted endoscopic versus sternotomy approach for myxoma excision: A single-center experience. Turk gogus Kalp Damar Cerrahisi Derg 2020; 28: 450-9.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Kalp ve Damar Cerrahisi |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Aralık 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 23 Sayı: 4 |