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Published on: October 20, 2017
Cardiac operations in the presence of meningioma
Ivan Aleksic1, Sebastian-Patrick Sommer, Eva Kottenberg-Assenmacher
1Department of Thoracic and Cardiovascular Surgery, Julius-Maximilians-University Würzburg, Würzburg, Germany. aleksic_i@klinik.uni-wuerzburg.de
Insights
Cardiac operations in patients with intracranial meningiomas show no increased risk. This study found no meningioma-related complications, suggesting careful preoperative neurosurgical consultation is key for managing these complex cases.
Area of Science:
- Neurosurgery
- Cardiology
- Oncology
Background:
- Investigated the impact of intracranial meningiomas on cardiac surgery outcomes.
- Examined perioperative management and long-term results for these patients.
Purpose of the Study:
- To determine if intracranial meningiomas pose a risk for cardiac surgery complications.
- To assess perioperative management and long-term outcomes in patients with both conditions.
Main Methods:
- Retrospective evaluation of 16 patients with intracranial meningiomas undergoing cardiac surgery (1996-2007).
- Assessed neurologic outcomes, transient deficits, and long-term follow-up for cardiac and neurosurgical interventions.
Main Results:
- 16 patients (5 male, 11 female) with meningiomas underwent cardiac surgery; all discharged in good condition.
- 12 of 14 patients survived long-term; deaths were due to myocardial infarction and colon cancer.
- Two patients experienced perioperative neurologic events (stroke, thromboembolism); no meningioma-related adverse events occurred.
Conclusions:
- Intracranial meningioma is not a risk factor for cardiac operations.
- No postoperative meningioma-related neurologic sequelae were observed.
- Preoperative neurosurgical consultation is recommended for all patients.
Background:
We investigated the effect of concomitant intracranial meningiomas on perioperative and postoperative complications after cardiac operations. Also studied was the intraoperative and perioperative management and long-term outcome of such patients.
Methods:
We retrospectively evaluated 16 cardiac surgical patients with intracranial meningiomas between January 1996 and July 2007. Neurologic outcome, incidence of transient neurologic deficits, and long-term follow-up focusing on freedom from any cardiac or neurosurgical intervention were assessed.
Results:
Five men and 11 women with a concomitant diagnosis of intracranial meningioma underwent cardiac operations using extracorporeal circulation. One patient received additional edema prophylaxis by intravenous dexamethasone. All patients were discharged home in good physical condition. Data on long-term survival were available on 14 patients, with 12 alive. Postoperatively, 2 patients died from myocardial infarction at 26.8 months and 2 from metastatic colon cancer at 57.9 months. Perioperative neurologic disorders were observed in 2 patients, comprising one stroke after intervention for aortic dissection and one thromboembolic event 2 weeks after biologic mitral valve replacement due to anticoagulation disorders. No meningioma-related adverse event was observed.
Conclusions:
The presence of intracranial meningioma does not appear to be a risk factor for patients undergoing cardiac operations. No meningioma-related neurologic sequelae were documented postoperatively. Neurosurgical consultation should be obtained in all patients preoperatively.
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