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The experience of surgical treatment of cardiac tumors

Abstract

The article analyzes diagnostics, surgical treatment and remote results of treatment of 28 patients with cardiac tumors. The most frequently observed cardiac tumor was myxoma of left atrium. (89,3 %). The frequency of cardiac tumors in our investigation was 0,5 % from the total number of cardiac surgeries. Most frequently clinical manifestations were associated with mitral valve obstruction. Echocardioscopy and. transesophageal echocardiography that allow to determine localization, attachment spot, size and character of the tumor in 99-100 % of cases are the basic diagnostic techniques. Cardiac tumor requires urgency of intervention, especially for patients with high risk of embolization at the occurrence of large mobile myxomes with uneven contours and at expressed clinical symptomatology. The most probable causes of death are valve occlusion and. emboly. Removal of cardiac tumors in the early periods after confirmation of diagnosis is an effective operation with good results in the early and remote postoperative periods.

About the Authors

P. I. Zakharov
ГБУ РС (Я) «Республиканская больница № 1 - Национальный центр медицины»; Медицинский институт ФГАОУ ВПО «Северо-восточный федеральный университет имени М.К. Аммосова»
Russian Federation


A. V. Tobokhov
Медицинский институт ФГАОУ ВПО «Северо-восточный федеральный университет имени М.К. Аммосова»
Russian Federation


V. N. Nikolaev
Медицинский институт ФГАОУ ВПО «Северо-восточный федеральный университет имени М.К. Аммосова»
Russian Federation


References

1. Бокерия Л.А., Голухова Е.З., Иваницкий А.В. Функциональная диагностика в кардиологии: в 2-х т. - М.: НЦССХ им. А. Н. Бакулева РАМН, 2002. - Т. 2. - С. 75 - 78.

2. Островский Ю.П. Хирургия сердца: рук-во. - М.: Медицинская литература, 2007. -С. 451 -466.

3. Смолянникова А.В., Саркисова Д.С. Патолого-анатомическая диагностика опухолей человека: рук-во; в 2-х т., 4-е изд., перераб. и доп. - М.: Медицина, 1993. - Т. 2. - С. 355 - 370.

4. Bhan A., Mehrota R. et al. Surgical experience with intracardiac myxomas: long-term follow-up // Ann. Thorac. Surg. - 1998. - Vo1. 66. -Р. 810-813.

5. Bjessmo S., Ivert T. Cardiac myxoma: 40 years' experience in 63 patients // Ann. Thorac. Surg. -1997. - Vol. 63. - P. 697 - 700.

6. Castells E., Ferran V., Octavio de Toledo M.C et al. Cardiac myxomas: surgical treatment, long-term results and recurrence // J. Cardiovasc. Surg. -1993. - Vol. 34. - P. 49 - 53.

7. Centofanti P., di Rosa E., Deorsola L. et al. Primary cardiac tumors: early and late results of surgical treatment in 91 patients // Ann. Thorac. Surg. -1999. - Vol. 68. - P. 1236 - 1241.

8. Chitwood W.R., Clarence Jr. Crafoord and the first successful resection of a cardiac myxoma // Ann. Thorac. Surg. - 1992. - Vol. 54. - P. 997 - 998.

9. Gray I.R., Williams W.G. Recurring cardiac myxoma // Br. Heart J. - 1985. - Vol. 53. -P. 645 - 649.

10. Guiraudon G.M., Ofiesh J.G., Kaushik R. Extended vertical transatrial approach to the mitral valve // Ann. Thorac. Surg. - 1991. - Vol. 52. -P. 1058 - 1062.

11. Keeling I.M., Oberwaldeer P. Cardiac myxomas: 24 years of experience in 49 patients // Eur. J. Cardio-Thorac. Surg. - 2002. - Vol. 22. - P. 971 -977.

12. Luisi V.S., Caparotti S. Extended vertical transatrial approach for the removal of left atrial myxoma // Ann. Thorac. Surg. - 1993. - Vol. 56. - P. 1216.

13. Reynen K. Cardiac myxomas // New Engl. J. Med. - 1995. - Vol. 333. - P. 1610 - 1617.

14. Selkane C., Amahzoune B. et al. Changing management of cardiac myxoma based on a series of 40 cases with long-term follow-up // Ann. Thorac. Surg. - 2003. - Vol. 76. - P. 1935-1938.


Review

For citations:


Zakharov P.I., Tobokhov A.V., Nikolaev V.N. The experience of surgical treatment of cardiac tumors. Acta Biomedica Scientifica. 2013;(2(1)):26-29. (In Russ.)

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ISSN 2541-9420 (Print)
ISSN 2587-9596 (Online)