title: [Primary atrial heart tumors--a review of 21 cases].
abstract: Between 1978 and 1986, atrial heart tumors were found in 21 of our patients, all of them subsequently underwent surgery. Pathological-histological examination in 20 patients confirmed the diagnosis of a myxoma; the one remaining case was a female patient with primary cardiogenic osteosarcoma. Of the 20 patients, 15 (75%) were females; in four female patients (20%) the tumor was localized in the right atrium. The main symptoms and findings were elevated erythrocyte sedimentation rates (80%), stress-induced dyspnea or paroxysmal dyspnea (71% resp.), and diastolic mitral or tricuspid murmurs (62%). The patient with osteosarcoma died of cachexia on the basis of generalized diffuse metastases. One female patient with a preoperative history of severe left ventricular impairment on the basis of dilative cardiomyopathy died 5 weeks after surgery. Relapse of atrial myxoma has not yet occurred during follow-up since 1978.
authors.affiliation: Rehabilitationszentrum für Herz- und Kreislaufkranke, Bad Krozingen.
authors.forename: H E
authors.initials: HE
authors.lastname: Heni
authors.forename: P
authors.initials: P
authors.lastname: Bubenheimer
authors.forename: L
authors.initials: L
authors.lastname: Görnandt
authors.forename: D
authors.initials: D
authors.lastname: Birnbaum
authors.forename: H
authors.initials: H
authors.lastname: Roskamm
mesh_terms: D000328:Adult; D000368:Aged; D004452:Echocardiography; D005260:Female; D006325:Heart Atria / Q000473:pathology*; D006338:Heart Neoplasms / Q000473:pathology* / Q000601:surgery; D006349:Heart Valve Diseases / Q000473:pathology; D006350:Heart Valve Prosthesis; D006351:Heart Valves / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000473:pathology* / Q000601:surgery; D012516:Osteosarcoma / Q000473:pathology* / Q000601:surgery; D011183:Postoperative Complications / Q000473:pathology
vernacular_title: Primäre atriale Herztumoren--eine Ubersicht über 21 Fälle.