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Ventricular tumors: surgical options

C A Dietl1, A R Torres, R G Favaloro

  • 1Institute of Cardiology and Cardiovascular Surgery, Fundación Favaloro, Hospital Güemes, Buenos Aires, Argentina.

Cardiovascular Surgery (London, England)
|December 1, 1993
PubMed
Summary
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Primary ventricular tumors are rare, mostly benign, and occur in children. Surgical resection offers good outcomes, while palliative operations like the Fontan procedure can manage obstructive cases effectively.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Oncology
  • Cardiac Pathology

Background:

  • Primary cardiac tumors originating in the ventricles are exceptionally rare.
  • This study reviews a series of patients diagnosed with ventricular neoplasms over an 8-year period.

Observation:

  • Nine patients presented with primary ventricular tumors: six in the right ventricle, two in the left, and one biventricular.
  • The patient cohort comprised seven children and two adults.
  • All identified neoplasms were histologically benign.

Findings:

  • Six tumors were obstructive, necessitating intervention. Of these, five underwent surgery: three with complete resection, one partial excision, and one Fontan-Kreutzer procedure.
  • One neonate with an obstructive tumor died preoperatively.

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  • Two non-obstructive tumors were managed conservatively; one patient experienced sudden death, while the other was monitored.
  • No perioperative or long-term mortality was observed in the six surgically treated patients.

    • Implications:

    • Complete or partial surgical excision of ventricular neoplasms is generally achievable with favorable long-term prognoses.
    • For unresectable tumors, Fontan-type operations provide effective palliation by excluding the right ventricle from circulation.