[Clinical, anatomical-pathological and therapeutic correlates of benign intracavitary heart tumors]

Chirurg. 1998 Dec;69(12):1357-61. doi: 10.1007/s001040050584.
[Article in German]

Abstract

Benign intracavitary cardiac tumors lead to "malignant" complications, so early diagnosis and adequate treatment are of vital importance. Our investigation summarizes a 10-year experience after surgical treatment of 29 patients suffering from benign intracavitary cardiac tumors. The postoperative histological examination revealed a myxoma in 27 cases; in 2 cases a papillary fibroelastoma was diagnosed. The main symptom in 19 patients was dyspnea. In 8 cases an embolic event occurred. All patients underwent extirpation of the tumor. Early mortality was 10%, while late mortality was 4%. The treatment of choice of benign intracavitary cardiac tumors is extirpation, which, due to unpredictable embolic complications, is to be carried out immediately should the tumor have a lobulated tuberous surface. In such cases the descriptive function of echocardiography is of considerable importance.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Embolism / mortality
  • Embolism / pathology
  • Embolism / surgery
  • Female
  • Fibroma / mortality
  • Fibroma / pathology
  • Fibroma / surgery*
  • Follow-Up Studies
  • Heart Atria / pathology
  • Heart Atria / surgery
  • Heart Neoplasms / mortality
  • Heart Neoplasms / pathology
  • Heart Neoplasms / surgery*
  • Humans
  • Male
  • Middle Aged
  • Myxoma / mortality
  • Myxoma / pathology
  • Myxoma / surgery*
  • Postoperative Complications / mortality
  • Survival Rate