[Surgical Resection of Metastatic Cardiac Tumors]

Area of Science:

• Cardiology
• Oncology
• Cardiac Surgery

Background:

• Metastatic cardiac tumors are rare but pose significant challenges due to variable presentation and potential for severe complications.
• Surgical management is often considered for symptomatic cases to reduce embolic risk and improve quality of life.

Purpose of the Study:

• To report two cases of surgically managed metastatic cardiac tumors.
• To highlight the role of surgical intervention in improving outcomes for patients with advanced cancers and cardiac involvement.

Main Methods:

• Surgical mass reduction of intracardiac tumors in two patients with metastatic colorectal and cervical cancer.
• Postoperative chemotherapy and literature review to support clinical decision-making.

Main Results:

• Case 1: Successful mass reduction enabled chemotherapy, leading to complete remission without recurrence.
• Case 2: Mass reduction with tricuspid valve replacement followed by chemotherapy resulted in sustained survival.
• Pathology confirmed metastatic cardiac tumors in both cases.

Conclusions:

• Surgical intervention, particularly mass reduction, is critical for symptomatic metastatic cardiac tumors to relieve symptoms and reduce embolic risk.
• Prompt surgical management can improve survival and facilitate subsequent oncological treatments.