Cardiac tumors surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Template:Dj

Overview

Cardiac tumors Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Cardiac Tumors from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Cardiac tumors surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Cardiac tumors surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Cardiac tumors surgery

CDC on Cardiac tumors surgery

Cardiac tumors surgery in the news

Blogs on Cardiac tumors surgery

Directions to Hospitals Treating Cardiac tumors

Risk calculators and risk factors for Cardiac tumors surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2]; Associate Editor(s)-in-Chief: Template:Dj

Surgery may be an option in specific cases of malignant tumors.

  • Patients with solitary heart illness and a managed primary tumor are optimal.
  • The tumor must be amenable to resection while maintaining adequate heart function to support life.

Surgery

Cardiac tumors Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Cardiac Tumors from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Cardiac tumors surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Cardiac tumors surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Cardiac tumors surgery

CDC on Cardiac tumors surgery

Cardiac tumors surgery in the news

Blogs on Cardiac tumors surgery

Directions to Hospitals Treating Cardiac tumors

Risk calculators and risk factors for Cardiac tumors surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3]; Associate Editor(s)-in-Chief: Template:Dj

Whether malignant or benign, clinical signs determine the criteria for emergency surgery.

  • Cardiac tumors can generate a wide range of symptoms, including the four indications for surgery:
    • Restriction of intracardiac blood circulation or interference with valve function
    • Rhythm abnormalities or pericardial effusions with tamponade owing to local penetration
    • Embolization, resulting in systemic or pulmonary impairments
    • Systemic or constitutional symptoms resulting from the tumors
Surgical Treatment of Cardiac Tumors
Tumor Treatment
Myxoma * Total excision
    • Surgical intervention is necessary for patients with severe dyspnea or a significant risk of embolism.
    • Surgical mortality rate of less than 5%
    • 2% to 5% of patients are at risk for recurrence

Papillary Fibroelastomas *Surgical resection with reconstruction,
*less often, valve replacement. 
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Papillary Fibroelastoma

  • Surgery is the mainstay of therapy for papillary fibroelastoma.
  • Surgical excision is generally recommended among patients with papillary fibroelastoma (for symptomatic relief).
  • A minimally invasive approach may be possible if the tumor involves the aortic valveor right atrium.[1]
  • In the case of aortic valve involvement, excision of the tumor is often valve-sparing, meaning that replacement of the valve with a prosthetic valve is not necessary. Repair of the native valve with a pericardial patch has been described.[2]

References

  1. Kim RW, Jeffery ME, Smith MJ, Wilensky RL, Woo EY, Woo YJ. (2007). "Minimally invasive resection of papillary fibroelastoma in a high-risk patient". J Cardiovasc Med (Hagerstown). 8 (8): 639–41. PMID 17667039.
  2. Westhof FB, Chryssagis K, Liangos A, Batz G, Diegeler A. (2007). "Aortic valve leaflet reconstruction after excision of a papillary fibroelastoma using autologous pericardium". Thorac Cardiovasc Surg. 55 (3): 204–7. PMID 17410513.

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