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[Diagnostics and surgical tactics for papillary fibroelastomas of the heart]

Yu V Belov1, M A Nechaenko1, V A Ivanov1

  • 1B.V. Petrovsky Russian Research Center of Surgery, Moscow.

Khirurgiia
|March 18, 2017
PubMed

Insights

Papillary fibroelastomas of the heart are rare tumors. Successful surgical treatment involves prompt excision and addressing any related comorbidities, with no hospital mortality observed in this study.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Oncology

Background:

  • Papillary fibroelastomas are the most common primary cardiac tumors.
  • These benign neoplasms can lead to significant embolic or obstructive complications.

Purpose of the Study:

  • To investigate the clinical, diagnostic, and surgical management of cardiac papillary fibroelastomas.
  • To evaluate the outcomes of surgical intervention for these tumors.

Main Methods:

  • Analysis of clinical data from 12 patients with cardiac papillary fibroelastomas.
  • Diagnostic modalities included two-dimensional echocardiography, transesophageal echocardiography, and computed tomography.
  • Surgical strategies encompassed tumor excision, with or without valve repair/replacement.

Main Results:

  • Diagnosis was confirmed using advanced imaging techniques.
  • Surgical treatment involved tumor excision, with or without cardiac valve procedures.
  • No hospital mortality was recorded, indicating a safe surgical approach.

Conclusions:

  • Urgent surgical intervention is crucial for successful management.
  • Optimal surgical outcomes are achieved through meticulous surgical technique, including hypothermic perfusion and cardioplegia.
  • Complete tumor excision and management of associated comorbidities are key to favorable results.
Abstract

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