Diagnosis and surgical treatment of cardiac tumors of the right ventricle
XU Tong-yi, LIU Yang, LI Zhi-gang, HAN Lin, XU Zhi-yun
Published 2013-10-25
Cite as Chin J Thorac Cardiovasc Surg, 2013,29(10): 585-587. DOI: 10.3760/cma.j.issn.1001-4497.2013.10.003
Abstract
Objective To discuss the diagnosis and surgical treatment of the primary right ventricular tumors.Methods The results of surgical treatment of 7 patientss (5 males,2 females; median age,48 years,range,37 to 68 years) with primary right ventricular tumors hospitalized from Jan,1999 to May,2012 were analyzed.By preoperation echocardiography,cardiac myxoma was diagnosed in 2 cases,and cardiac space-occupying lesion was diagnosed in 5 cases.Median sternotomy were performed in all the 7 cases for biopsy or resection of tumor.when resection of tumor,extracorporeal circulation and cardiac arrest were performed.Results The 7 patients accounted for 4.96% of patients with cardiac tumors surgically treated in the corresponding period.Complete resection of tumor was performed in 5 cases,and only biopsy in 2 cases.The pathological diagnoses included myxoma in 2 cases,lipoma in 1 case,liomyoma in 1 case,undifferentiated sarcoma in 1 case,and mesenchymal sarcoma in 2 cases.There was no in-hospital death.During a follow-up of 1 ~ 51 months (median,38 months),the 3 cases of sarcoma died,and the other patients were good and showed no recurrence.Conclusion The incidence rate of primary right ventricular malignant tumor is relatively high.Echocardiography is the most important diagnosis method.The prognosis of right ventricular malignant tumor is poor.The results of surgical treatment of right ventricular benign tumor are satisfactory.
Key words:
Heart neoplasms; Heart ventricles; Diagnosis ; Cardiac surgical procedures
Contributor Information
XU Tong-yi
Department of Cardiothoracic Surgery, Changhai Hospital, Second Military Medical University,Shanghai 200433, China
LIU Yang
Department of Cardiothoracic Surgery, Changhai Hospital, Second Military Medical University,Shanghai 200433, China
LI Zhi-gang
Department of Cardiothoracic Surgery, Changhai Hospital, Second Military Medical University,Shanghai 200433, China
HAN Lin
Department of Cardiothoracic Surgery, Changhai Hospital, Second Military Medical University,Shanghai 200433, China
XU Zhi-yun
Department of Cardiothoracic Surgery, Changhai Hospital, Second Military Medical University,Shanghai 200433, China