Cardiac tumors: clinical experience and surgical results in 74 patients.
A series of 75 cardiac tumors in 74 patients were operated on at La Pitie Hospital between 1972 and 1989. There were 73 primary and 2 metastatic tumors. Among the benign neoplasms, 58 were myxomas; seven of the nine malignant tumors were primary heart tumors. The mean age of the patients was 48 years (range, 9 to 75 years); 46 patients were female and 28 male. Fifty-seven percent of the patients had congestive heart failure, 13% had chest pain, 17% had neurological symptoms, and only 1 patient was totally asymptomatic. The cardiac tumors were incidental findings in 3 patients. Complete resection was carried out in 66 benign lesions and only four of the malignant tumors. All patients survived operation, although 4 died in the early postoperative period. Long-term results were excellent in patients with benign lesions, and no recurrences were found. In patients with malignant tumors, surgical procedures were only palliative and aimed at prolonging life; hence, prognosis remained unchanged.
Department of Thoracic and Cardiovascular Surgery, Hopital de la Pitie, Paris, France.
A
A
Miralles
L
L
Bracamonte
H
H
Soncul
R
R
Diaz del Castillo
R
R
Akhtar
V
V
Bors
A
A
Pavie
I
I
Gandjbackhch
C
C
Cabrol
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006338:Heart Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000473:pathology / Q000601:surgery