Primary cardiac tumors when is surgery necessary

Nine of 13 children with rhabdomyomas had spontaneous tumour regression without intervention. Conclusions: Most of the cardiac tumours in children are benign.

Spontaneous regression is possible not only in rhabdomyoma. Surgical intervention is only required for children who develop relevant clinical symptoms. En bloc excision of the tumor mass was aimed in surgery or otherwise accordingly if it was not possible.

Only one patient received coronary artery bypass grafting CABG and 2 1. Among patients diagnosed of cardiac tumors in our study who were underwent surgical treatment at our institution, there were 2 in-hospital deaths death occurring within 30 days of operation or before discharge.

Complications related to surgery postoperatively were recorded in 15 Data on distribution of tumors between left and right cardiac chambers were shown in Table 2. Additionally, begin tumors were more common in left cardiac chambers while malignant neoplasms were more frequently seen in right cardiac chambers. In this report, we presented a large series of cardiac tumors involving reviewed comprehensive clinical data of these consecutively diagnosed patients with cardiac tumors who received surgical treatment in our center.

Compared with most of previous reports, we uniquely collected data on both benign and malignant cardiac tumors to provide a comprehensive clinical data on such issue. In our data analysis, The majority of benign tumors of the heart were located in the LA, while the RA came the second. Furthermore, most of the benign tumors were myxomas, effecting women mostly with a median age of Primary malignant cardiac tumors are scarcely occurred in heart disease. In our studies, we found a percentage of Although significantly uncommon, lymphoma and rhabdomyosarcoma are the second most common malignant tumors of the heart in our series, which was not consistent with previous studies in whose report papillary fibroelastoma PFE was the second most common ones.

The remainder of the tumors was generally represented by significant rare inflammatory myofibroblastic tumor, synovial sarcoma, liposarcoma and pericardial mesothelioma. Metastatic neoplasms of the heart constituted to 4. Extremely unusual tumors of the heart involving primitive neuroectodermal tumor, rhabdomyosarcoma, primary lymphoma and inflammatory myofibroblastoma were also recorded in this report.

Because myocytes never divide and the heart is less exposed to external irritation, primary cardiac neoplasm is significantly less common found in autopsies, comparing with other organs 20 , Myxomas, most common primary cardiac tumors, are usually located in the LA and RA, and are rarely seen in left and right ventricle.

As to non-myxomas cardiac tumors, ventricles are the most susceptible chambers, our patients also confirm to the location distribution of relative tumor occurrence as evident in other series 22 - For most patients diagnosed with cardiac tumors, intracardiac obstruction and peripheral embolism are the two main constitutional symptoms. View at: Google Scholar W. Travis, E. Brambilla, H. View at: Google Scholar A.

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Download references. You can also search for this author in PubMed Google Scholar. Correspondence to Jianchuan Qi. LY conceived and designed the study. ZZ helped to draft the manuscript. JQ reviewed and edited the manuscript.

All authors read and approved the manuscript. Reprints and Permissions. Ying, L. J Cardiothorac Surg 11, 52 Download citation. Received : 01 December Accepted : 04 April Published : 11 April Anyone you share the following link with will be able to read this content:. Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative.

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