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3D Whole-heart Myocardial Tissue Analysis
Published on: April 12, 2017
Cardiac masses : Experience from a Turkish tertiary center of cardiology
C Gecmen1, G G Gecmen2, M Kahyaoglu3
1Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, 34846, Kartal, Istanbul, Turkey. koronerr@hotmail.com.
Insights
This study reviewed cardiac masses in 228 patients, finding myxoma most common, followed by pannus and thrombus. These findings offer insights into cardiac mass prevalence and characteristics.
Area of Science:
- Cardiology
- Pathology
- Cardiac Surgery
Background:
- Cardiac masses encompass a spectrum of lesions, including benign, malignant, and non-tumoral types.
- Understanding the prevalence and characteristics of cardiac masses is crucial for diagnosis and treatment.
Purpose of the Study:
- To report the findings of cardiac masses encountered at a tertiary cardiology hospital in Turkey.
- To analyze the types, locations, and demographic distribution of cardiac masses.
Main Methods:
- Retrospective review of patient records who underwent surgery for cardiac masses between 2006 and 2015.
- Analysis of tissue samples sent to the pathology laboratory for diagnosis.
- Consecutive case series including 228 patients.
Main Results:
- The most frequent cardiac mass was myxoma (29.8%), predominantly in the left atrium and more common in females.
- Pannus was the second most common (16.7%), typically found on mitral mechanical prosthetic valves.
- Thrombus was the third most prevalent (16.2%), commonly located in the right atrium.
Conclusions:
- Myxoma is the most common cardiac mass, frequently located in the left atrium.
- Pannus is the second most common mass, often associated with prosthetic valves.
- Thrombi represent the third most prevalent cardiac mass, frequently found in the right atrium.
Objective:
Cardiac masses comprise a category that includes benign, malignant, and nontumoral mass lesions. The present study aims to share the findings relating to cardiac masses observed at our tertiary cardiology hospital in Turkey.
Methods:
The records of patients who presented with cardiac masses and underwent surgery at our institute between 2006 and 2015, and whose tissue samples were sent to a pathology laboratory, were retrospectively reviewed in a consecutive manner.
Results:
The study included 228 patients with an average age of 52.5 ± 17.3 years. Of the study's subjects, 95 (41.7%) were male and 133 (58.3%) female. The most commonly observed mass was myxoma in 68 patients (29.8%), of whom 20 (29.4%) were male and 48 (70.6%) female. The second most frequently detected mass was pannus, with 38 cases (16.7%) - 10 (26.3%) in males and 28 (73.7%) in females. The third most common cardiac mass was thrombus (16.2%), with 18 cases of thrombi in men (48.6%) and 19 (51.4%) in women.
Conclusion:
The most commonly observed cardiac mass was myxoma and most were localized in the left atrium. The second most frequently detected mass was pannus, which was mostly found on mitral mechanical prosthetic valves. Thrombi were the third most prevalent mass and were commonly localized in the right atrium.
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