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[Primary cardiac tumours: diagnosis and surgical treatment (author's transl)]
Insights
Five patients with cardiac tumors, including teratoma, rhabdomyoma, fibroma, and myxoma, experienced successful surgical removal and showed no recurrence. Angiocardiography proved reliable for diagnosing these space-occupying cardiac lesions.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Cardiac Oncology
Background:
- Cardiac tumors are rare, presenting diverse histological types and locations.
- Diagnosis and management of pediatric and adult cardiac tumors require specialized approaches.
Observation:
- Five patients presented with various cardiac tumors: teratoma, rhabdomyoma, fibroma, and atrial myxoma.
- Symptoms primarily included signs of cardiac flow obstruction.
- Angiocardiography was the most reliable diagnostic tool for space-occupying cardiac lesions.
Findings:
- All five patients underwent successful surgical resection of their cardiac tumors using cardiopulmonary bypass.
- Surgical techniques were tailored to tumor location, extent, and relationship to vital cardiac structures.
- Postoperative follow-up confirmed symptom resolution and absence of tumor recurrence.
Implications:
- Surgical intervention offers a curative option for various cardiac tumors.
- Effective diagnosis and tailored surgical strategies are crucial for favorable outcomes.
- Further research into the etiology and long-term management of cardiac tumors is warranted.
Abstract:
A teratoma of the cardiac skeleton, a rhabdomyoma of the right ventricle and an intramural fibroma in the left ventricle were observed in three children, aged eight weeks, eight months and eight years, respectively. Atrial myxoma was found in a 42-year-old and a 49-year-old patient. History and symptoms showed no particular common features in the various patients, merely signs of flow obstruction in four of the five patients. Amongst specific cardiological diagnostic methods only angiocardiography was reliable in the demonstration of intra- or paracardiac space-occupying lesions. All five patients were successfully operated on under cardiopulmonary bypass. The surgical technique varied according to localisation, extent of the tumour and its site in relation to essential cardiac structures. Follow-up examination indicated that the patients were free of symptoms and recurrence.