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Diagnosis and follow up of patients with primary cardiac tumours: a single-centre experience of myxomas.

Manduz S, Katrancioglu N, Karahan O, Yucel O, Yilmaz MB - Cardiovasc J Afr (2011 Nov-Dec)

Bottom Line: Twelve patients were diagnosed with myxomas, nine of which were located within the left atrium and three in the right atrium.The most common symptoms at clinical presentation were those associated with heart failure or embolisation.Femoro-popliteal aorto-iliac thrombo-endarterectomy was performed with mass resection in a further case.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Cardiovascular Surgery, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey.

ABSTRACT

Objective: In this study, 12 patients who were diagnosed as having cardiac tumours and were operated on in the Department of Cardiovascular Surgery following referral from the Department of Cardiology were enrolled between January 1995 and October 2007.

Methods: The symptoms, clinical findings, diagnostic methods, localisation of masses and surgical applications were recorded retrospectively.

Results: There were 10 female (83%) and two (17%) male patients; their ages ranged from 35 to 70 years (mean 68.7 years). Twelve patients were diagnosed with myxomas, nine of which were located within the left atrium and three in the right atrium. The most common symptoms at clinical presentation were those associated with heart failure or embolisation. Diagnosis of the tumours was made by echocardiography in all patients. The masses were completely resected in eight patients and the interatrial septae were partially excised with mass resection in two patients. The defect was reconstructed with a pericardial patch in one of the patients, and primarily reconstructed in the other. We carried out debridement with mass resection in another case. Femoro-popliteal aorto-iliac thrombo-endarterectomy was performed with mass resection in a further case.

Conclusion: Atrial myxomas are the most common primary cardiac tumours. They can cause valvular or inflow-outflow tract obstruction, thrombo-embolism, arrhythmias, or pericardial disorders. Most atrial myxomas are benign but due to non-specific symptoms, early diagnosis may be a challenge and they must be removed by surgical resection. Diagnosis and follow up with the collaboration of cardiology and cardiovascular surgery departments is important for meticulous care of these patients.

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Left atrial mass (4.8 × 7.5 cm) near the interatrial septum (case 2).
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Figure 1: Left atrial mass (4.8 × 7.5 cm) near the interatrial septum (case 2).

Mentions: Diagnosis of the tumours was made by echocardiography before surgery in all patients (Fig. 1). Computed tomography and angiocardiography were also used in some of the patients as required. The masses were completely resected in eight patients and the interatrial septae were partially excised with mass resection in two patients (Fig. 2). The defect was reconstructed with a pericardial patch in one patient and primarily reconstructed in the other. We carried out debridement with mass resection in another case. Femoro–popliteal aorto–iliac thrombo-endarterectomy was performed with mass resection in a further case and the embolectomy material was confirmed as a myxoma. Coronary artery bypass surgery was performed in a patient with coronary artery disease (Table 1).


Diagnosis and follow up of patients with primary cardiac tumours: a single-centre experience of myxomas.

Manduz S, Katrancioglu N, Karahan O, Yucel O, Yilmaz MB - Cardiovasc J Afr (2011 Nov-Dec)

Left atrial mass (4.8 × 7.5 cm) near the interatrial septum (case 2).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3721894&req=5

Figure 1: Left atrial mass (4.8 × 7.5 cm) near the interatrial septum (case 2).
Mentions: Diagnosis of the tumours was made by echocardiography before surgery in all patients (Fig. 1). Computed tomography and angiocardiography were also used in some of the patients as required. The masses were completely resected in eight patients and the interatrial septae were partially excised with mass resection in two patients (Fig. 2). The defect was reconstructed with a pericardial patch in one patient and primarily reconstructed in the other. We carried out debridement with mass resection in another case. Femoro–popliteal aorto–iliac thrombo-endarterectomy was performed with mass resection in a further case and the embolectomy material was confirmed as a myxoma. Coronary artery bypass surgery was performed in a patient with coronary artery disease (Table 1).

Bottom Line: Twelve patients were diagnosed with myxomas, nine of which were located within the left atrium and three in the right atrium.The most common symptoms at clinical presentation were those associated with heart failure or embolisation.Femoro-popliteal aorto-iliac thrombo-endarterectomy was performed with mass resection in a further case.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Cardiovascular Surgery, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey.

ABSTRACT

Objective: In this study, 12 patients who were diagnosed as having cardiac tumours and were operated on in the Department of Cardiovascular Surgery following referral from the Department of Cardiology were enrolled between January 1995 and October 2007.

Methods: The symptoms, clinical findings, diagnostic methods, localisation of masses and surgical applications were recorded retrospectively.

Results: There were 10 female (83%) and two (17%) male patients; their ages ranged from 35 to 70 years (mean 68.7 years). Twelve patients were diagnosed with myxomas, nine of which were located within the left atrium and three in the right atrium. The most common symptoms at clinical presentation were those associated with heart failure or embolisation. Diagnosis of the tumours was made by echocardiography in all patients. The masses were completely resected in eight patients and the interatrial septae were partially excised with mass resection in two patients. The defect was reconstructed with a pericardial patch in one of the patients, and primarily reconstructed in the other. We carried out debridement with mass resection in another case. Femoro-popliteal aorto-iliac thrombo-endarterectomy was performed with mass resection in a further case.

Conclusion: Atrial myxomas are the most common primary cardiac tumours. They can cause valvular or inflow-outflow tract obstruction, thrombo-embolism, arrhythmias, or pericardial disorders. Most atrial myxomas are benign but due to non-specific symptoms, early diagnosis may be a challenge and they must be removed by surgical resection. Diagnosis and follow up with the collaboration of cardiology and cardiovascular surgery departments is important for meticulous care of these patients.

Show MeSH
Related in: MedlinePlus