Volume 22 Issue 3
Mar.  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(3): 406-409
LIU Tan, YU Yunsheng, HUANG Haoyue, YE Wenxue, HUA Fei, CHEN Yihuan, FAN Hongyou, JI Zhenchun. Surgical treatment and curative effect analysis of 73 cases of primary cardiac tumor[J]. Chinese Journal of General Practice, 2024, 22(3): 406-409. doi: 10.16766/j.cnki.issn.1674-4152.003413
Citation: LIU Tan, YU Yunsheng, HUANG Haoyue, YE Wenxue, HUA Fei, CHEN Yihuan, FAN Hongyou, JI Zhenchun. Surgical treatment and curative effect analysis of 73 cases of primary cardiac tumor[J]. Chinese Journal of General Practice, 2024, 22(3): 406-409. doi: 10.16766/j.cnki.issn.1674-4152.003413
shu

Surgical treatment and curative effect analysis of 73 cases of primary cardiac tumor

doi: 10.16766/j.cnki.issn.1674-4152.003413

  • Department of Cardiac Vascular Surgery, the First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215006, China

Funds:

 ZDA2020017

  • Received Date: 2023-08-11
    Available Online: 2024-05-27
    Abstract
  •   Objective  To summarize the experience of surgical treatment of 73 cases of primary cardiac tumors and improve the level of diagnosis and treatment of cardiac tumors.  Methods  A retrospective analysis was performed on 73 patients with cardiac tumors who were treated by cardiac macrovascular surgery in the First Affiliated Hospital of Soochow University from January 2018 to November 2022. General clinical data was collected, and their preoperative clinical manifestations, intraoperative surgical approach selection, tumor location and proportion, postoperative tumor pathology and prognosis were analyzed.  Results  A total of 30 patients showed congestive heart failure, accounting for 41.1%. There were 18 cases with embolism history, accounting for 24.7%. Two cases showed fever or systemic symptoms, accounting for 0.03%. Eight cases were complicated with arrhythmia (11.0%). Fifteen cases showed no clinical symptoms, accounting for 20.5%. In this group, there were 63 myxoma (86.3%), 8 non-myxomatous benign tumors (11.0%), and 2 malignant tumors (2.7%), most of which originated from the left atrium, 53 were located in the left atrium, 4 in the right atrium, 4 in the left ventricle, 1 in the right ventricular outflow tract, 2 in the left and right atrium, 1 in the left atrium and 1 in the left atrium, and 4 involved the mitral valve. Tricuspid valve was involved in 1 case, pulmonary vein in 1 case, inferior vena cava in 1 case, pericardial cavity in 1 case. In the whole group, 1 case died perioperatively, and the remaining patients had no surgery-related death. Follow-up ranged from 6 months to 5 years, with an average follow-up of 34 months, and 1 case was lost to follow-up. There was no recurrence of primary cardiac benign tumor, and 2 patients with malignant tumor died at 3 months and 6 months, respectively.  Conclusion  Primary cardiac tumors lack characteristic clinical manifestations. Myxoma is the most common primary cardiac tumor, and surgical resection is an effective treatment.

     

    • FullText(HTML)
  • loading
    • References(23)
  • [1]
    POTERUCHA T J, KOCHAV J, O'CONNOR D S, et al. Cardiac tumors: clinical presentation, diagnosis, and management[J]. Curr Treat Options Oncol, 2019, 20(8): 66. doi: 10.1007/s11864-019-0662-1
    [2]
    艾凤英, 王大新, 耿铜, 等. 原发性心脏肿瘤研究进展[J]. 中华全科医学, 2018, 16(11): 1890-1893. doi: 10.16766/j.cnki.issn.1674-4152.000515
    [3]
    GREBENC M L, ROSADO DE CHRISTENSON M L, BURKE A P, et al. Primary cardiac and pericardial neoplasms: radiologic-pathologic correlation[J]. Radiographics, 2000, 20(4): 1073-1103. doi: 10.1148/radiographics.20.4.g00jl081073
    [4]
    ABU ABEELEH M, SALEH S, ALHADDAD E, et al. Cardiac myxoma: clinical characteristics, surgical intervention, intra-operative challenges and outcome[J]. Perfusion, 2017, 32(8): 686-690. doi: 10.1177/0267659117722596
    [5]
    REN D Y, FULLER N D, GILBERT S A B, et al. Cardiac tumors: clinical perspective and therapeutic considerations[J]. Curr Drug Targets, 2017, 18(15): 1805-1809.
    [6]
    SAMANIDIS G, KHOURY M, BALANIKA M, et al. Current challenges in the diagnosis and treatment of cardiac myxoma[J]. Kardiol Pol, 2020, 78(4): 269-277. doi: 10.33963/KP.15254
    [7]
    LEE S H, PARK J S, PARK J H, et al. Comparison of clinical and echocardiographic characteristics between cardiac myxomas and masses mimicking myxoma[J]. Korean Circ J, 2020, 50(9): 822-832. doi: 10.4070/kcj.2020.0024
    [8]
    YUAN L, GE L, ZHU Y, et al. Cardiac myxoma and ischemic stroke[J]. QJM, 2020, 113(9): 674-675. doi: 10.1093/qjmed/hcaa085
    [9]
    TYEBALLY S, CHEN D, BHATTACHARYYA S, et al. Cardiac tumors: JACC cardio oncology state-of-the-art review[J]. JACC Cardio Oncol, 2020, 2(2): 293-311. doi: 10.1016/j.jaccao.2020.05.009
    [10]
    MA H, NIU Y, TIAN M, et al. A study of 399 cardiac tumors: characteristics of echocardiography and pathological features[J]. Echocardiography, 2022, 39(1): 37-45. doi: 10.1111/echo.15249
    [11]
    YUAN S M. Mitral valve myxoma: clinical features, current diagnostic approaches, and surgical management[J]. Cardiol J, 2012, 19(1): 105-109. doi: 10.5603/CJ.2012.0019
    [12]
    BAIKOUSSIS N G, PAPAKONSTANTINOU N A, DEDEILIAS P, et al. Cardiac tumors: a retrospective multicenter institutional study[J]. J BUON, 2015, 20(4): 1115-1123.
    [13]
    SHAO D, WANG S X, LIANG C H, et al. Differentiation of malignant from benign heart and pericardial lesions using positron emission tomography and computed tomography[J]. J Nucl Cardiol, 2011, 18(4): 668-677. doi: 10.1007/s12350-011-9398-4
    [14]
    WU X, WANG C, ZHANG C, et al. Computed tomography for detecting left atrial thrombus: a meta-analysis[J]. Arch Med Sci, 2012, 8(6): 943-951.
    [15]
    XIA L Y, ZHU H L, LI R H, et al. A rare left ventricular cardiac myxoma mimicking fibroma[J]. J Cardiothorac Surg, 2022, 17(1): 207. doi: 10.1186/s13019-022-01968-7
    [16]
    ISLAM A K M M. Cardiac myxomas: a narrative review[J]. World J Cardiol, 2022, 14(4): 206-219. doi: 10.4330/wjc.v14.i4.206
    [17]
    REYNEN K. Cardiac myxomas[J]. N Engl J Med, 1995, 333(24): 1610-1617. doi: 10.1056/NEJM199512143332407
    [18]
    TAGUCHI S. Comprehensive review of the epidemiology and treatments for malignant adult cardiac tumors[J]. Gen Thorac Cardiovasc Surg, 2018, 66(5): 257-262. doi: 10.1007/s11748-018-0912-3
    [19]
    VAITIEKIENE A, VAITIEKUS D, URBONAITE L, et al. Multidisciplinary approach to rare primary cardiac sarcoma: a case report and review[J]. BMC Cancer, 2019, 19(1): 529. doi: 10.1186/s12885-019-5705-2
    [20]
    SIMPSON L, KUMAR S K, OKUNO S H, et al. Malignant primary cardiac tumors: review of a single institution experience[J]. Cancer, 2008, 112(11): 2440-2446. doi: 10.1002/cncr.23459
    [21]
    LAD V S, JAIN J, AGARWALA S, et al. Right atrial trans-septal approach for left atrial myxomas: nine-year experience[J]. Heart Lung Circ, 2006, 15(1): 38-43. doi: 10.1016/j.hlc.2005.06.008
    [22]
    刘言一, 李鑫, 葛圣林. 右房黏液瘤的外科治疗体会及近中期临床疗效观察[J]. 中华全科医学, 2021, 19(10): 1642-1645, 1665. doi: 10.16766/j.cnki.issn.1674-4152.002131
    [23]
    李文秀, 王兆富, 苏俊武, 等. 超声心动图对小儿心脏肿瘤的诊断价值[J]. 中国医药, 2020, 15(9): 1338-1341.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(3)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (128) PDF downloads(5) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return