Diagnosis and Surgical Treatment of 103 Patients with Cardiac Tumors_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIJie , WEITing-ju , MANing , ZHANGWei-hua , LUOHong , QIAOChen-hui ,  ZHANGXin

Department of Cardiovascular Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, P. R. China;

Corresponding author：

ZHANGXin, Email: zhangxin615302@163.com

Keywords：

Cardiac tumor; Myxoma; Malignantcardiac tumors; Surgical treatment

DOI：

10.7507/1007-4848.20160104

Video：

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Objective To explore the diagnosis accuracy of cardiac tumor and effectiveness of surgical treatment. Method We retrospectively analyzed the clinical data of 103 patients with cardiac tumor in our hospital from 2011 through 2014 year. There were 65 females and 38 males, aging from 3 months to 82 years (average age of 59.71±13.80 years). We analyzed age distribution and clinical manifestation of the patients, as well as size and location of tumors. Then we compared effects of different surgical procedures. Result There was no death during evaluation. Early postoperative complications included arrhythmia (47 patients), electrolyte disturbance (13 patients), and cardiac dysfunction (9 patients). One patient with B-cell non-Hodgkin's lymphoma auto-discharged because of cardiac dysfunction. No relapse was obse-rved in the patients with atrial myxoma or lipoma (2 patients) during follow-up. One patient with benign myogenic tumor was lost during the follow-up. Six patients with malignant tumor were with poor long-term effect including 2 patients lost in the follow-up and 4 deaths due to tumor relapse during 1 year after surgery. Conclusion Surgery is still the most effective and major therapy of cardiac tumor.

Citation： LIJie, WEITing-ju, MANing, ZHANGWei-hua, LUOHong, QIAOChen-hui, ZHANGXin. Diagnosis and Surgical Treatment of 103 Patients with Cardiac Tumors. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(5): 440-443. doi: 10.7507/1007-4848.20160104 Copy

1.	Salooja MS, Mukherji KC, Shrivastava A, et al. A case of giant left ventricular lipoma:unusual presentation. Indian J Thorac Cardiovasc Surg, 2013, 29(2):143-146.
2.	Treskatsch S, Grubitzsch H, Lembcke AM, et al. A large cardiac tumor obstructing left ventricular inflow. Intensive Care Med, 2015, 41(3):521-522.
3.	Philip B, Byard RW. Cardiac tumors and sudden death. Forensic Sci Med Pathol, 2014, 10:269-271.
4.	Oomen AW, Kuijpers SH. Cerebral aneurysms one year after resction of a cardiac myxoma. Neth Heart, 2013, 21(6):307-309.
5.	Amano J, Nakayama J, Yoshimura Y, et al. Clinical classification of cardiovascular tumors and tumor-like lesions, and its incidences. Gen Thorac Cardiovasc Surg, 2013, 61(8):435-447.
6.	Bakaeen FG, Reardon MJ, Coselli JS, et al. Surgical outcome in 85 patients with primary cardiac tumors. Am J Surg, 2003, 186(6):641-647.
7.	王咏, 肖颖彬, 陈林, 等. 心脏肿瘤181例外科治疗的临床分析. 中国胸心血管外科临床杂志, 2013, 20(2):155-158.
8.	孟庆涛, 韩宏光, 王辉山, 等. 93例心房粘液瘤的诊断与治疗. 心肺血管病杂志, 2013, 32(5):598-600.
9.	朱云喜, 胡建国, 周新民, 等. 原发性心脏肿瘤138例的临床诊断与外科治疗. 肿瘤, 2010, 30(11):965-968.
10.	Reynen K. Cardiac myxomas. N Engl J Med, 1995, 333(24):1610-1617.
11.	张本, 刘洋, 徐同毅, 等. 原发性心脏恶性肿瘤的诊断与外科治疗. 第二军医大学学报, 2013, 34(11):1267-1270.
12.	黑飞龙, 李桂芹, 孙桂民, 等. 心脏肿瘤流行病学分析. 肿瘤防治杂志, 2003, 10(6):561-562.
13.	于坤, 龙村, 黑飞龙, 等. 242例外科治疗的心脏肿瘤的临床分析. 中国肿瘤临床, 2006, 33(15):877-880.
14.	Srivyas RC, Xavier J, Devanand NS, et al. A case of cardiac fibroma obstructing the right ventricular outflow tract. Indian J Thorac Cardiovasc Surg, 2002, 18(4):167-169.
15.	Treskatsch S, Grubitzsch H, Lembcke A, et al. A large cardiac tumor obstructing left ventricular inflow. Intensive Care Med, 2015, 41(3):521-522.
16.	Fairman EB, Mauro VM, Tomás F, et al. Liposarcoma causing left ventricular outflow tract obstruction and syncope:a case report and review of the literature. Int J Cardiovasc Imaging, 2005, 21(5):513-518.
17.	Al Zahrani IM, Alraqtan A, Rezk A, et al. Atrial myxoma related myocardial infarction:Case report and review of the literature. J Saudi Heart Assoc, 2014, 26(3):166-169.
18.	程前进, 李祥, 马黎明, 等. 34例原发性心脏肿瘤的诊断及外科治疗. 心肺血管病杂志, 2012, 31(1):43-44.
19.	Bogren HG, DeMaria AN, Mason DT. Imaging procedures in the detection of cardiac tumors,with emphasis on echocardiography:a review. Cardiovasc Intervent Radiol, 1980, 3:107-125.
20.	Shapirol M. Cardiac tumors:diagnosis and management. Heart, 2001, 85:218-222.
21.	周悦, 章斌, 张石江, 等. 96例左心房黏液瘤的外科治疗. 江苏医药, 2015, 41(3):290-292.
22.	Rodríguez-Cruz E, Cintrón-Maldonado RM, Forbes TJ. Treatment of primary cardiac malignancies with orthotopicheart transplantation. Bol Asoc Med PR, 2000, 92(4): 65-71.

1. Salooja MS, Mukherji KC, Shrivastava A, et al. A case of giant left ventricular lipoma:unusual presentation. Indian J Thorac Cardiovasc Surg, 2013, 29(2):143-146.
2. Treskatsch S, Grubitzsch H, Lembcke AM, et al. A large cardiac tumor obstructing left ventricular inflow. Intensive Care Med, 2015, 41(3):521-522.
3. Philip B, Byard RW. Cardiac tumors and sudden death. Forensic Sci Med Pathol, 2014, 10:269-271.
4. Oomen AW, Kuijpers SH. Cerebral aneurysms one year after resction of a cardiac myxoma. Neth Heart, 2013, 21(6):307-309.
5. Amano J, Nakayama J, Yoshimura Y, et al. Clinical classification of cardiovascular tumors and tumor-like lesions, and its incidences. Gen Thorac Cardiovasc Surg, 2013, 61(8):435-447.
6. Bakaeen FG, Reardon MJ, Coselli JS, et al. Surgical outcome in 85 patients with primary cardiac tumors. Am J Surg, 2003, 186(6):641-647.
7. 王咏, 肖颖彬, 陈林, 等. 心脏肿瘤181例外科治疗的临床分析. 中国胸心血管外科临床杂志, 2013, 20(2):155-158.
8. 孟庆涛, 韩宏光, 王辉山, 等. 93例心房粘液瘤的诊断与治疗. 心肺血管病杂志, 2013, 32(5):598-600.
9. 朱云喜, 胡建国, 周新民, 等. 原发性心脏肿瘤138例的临床诊断与外科治疗. 肿瘤, 2010, 30(11):965-968.
10. Reynen K. Cardiac myxomas. N Engl J Med, 1995, 333(24):1610-1617.
11. 张本, 刘洋, 徐同毅, 等. 原发性心脏恶性肿瘤的诊断与外科治疗. 第二军医大学学报, 2013, 34(11):1267-1270.
12. 黑飞龙, 李桂芹, 孙桂民, 等. 心脏肿瘤流行病学分析. 肿瘤防治杂志, 2003, 10(6):561-562.
13. 于坤, 龙村, 黑飞龙, 等. 242例外科治疗的心脏肿瘤的临床分析. 中国肿瘤临床, 2006, 33(15):877-880.
14. Srivyas RC, Xavier J, Devanand NS, et al. A case of cardiac fibroma obstructing the right ventricular outflow tract. Indian J Thorac Cardiovasc Surg, 2002, 18(4):167-169.
15. Treskatsch S, Grubitzsch H, Lembcke A, et al. A large cardiac tumor obstructing left ventricular inflow. Intensive Care Med, 2015, 41(3):521-522.
16. Fairman EB, Mauro VM, Tomás F, et al. Liposarcoma causing left ventricular outflow tract obstruction and syncope:a case report and review of the literature. Int J Cardiovasc Imaging, 2005, 21(5):513-518.
17. Al Zahrani IM, Alraqtan A, Rezk A, et al. Atrial myxoma related myocardial infarction:Case report and review of the literature. J Saudi Heart Assoc, 2014, 26(3):166-169.
18. 程前进, 李祥, 马黎明, 等. 34例原发性心脏肿瘤的诊断及外科治疗. 心肺血管病杂志, 2012, 31(1):43-44.
19. Bogren HG, DeMaria AN, Mason DT. Imaging procedures in the detection of cardiac tumors,with emphasis on echocardiography:a review. Cardiovasc Intervent Radiol, 1980, 3:107-125.
20. Shapirol M. Cardiac tumors:diagnosis and management. Heart, 2001, 85:218-222.
21. 周悦, 章斌, 张石江, 等. 96例左心房黏液瘤的外科治疗. 江苏医药, 2015, 41(3):290-292.
22. Rodríguez-Cruz E, Cintrón-Maldonado RM, Forbes TJ. Treatment of primary cardiac malignancies with orthotopicheart transplantation. Bol Asoc Med PR, 2000, 92(4): 65-71.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Diagnosis and Surgical Treatment of 103 Patients with Cardiac Tumors

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