[The anatomic pathological classification for intracardiac leiomyomatosis and the choice of its surgical strategy].
OBJECTIVE
To approach an anatomic pathological classification scheme for the intracardiac leiomyomatosis (ICL), and to guide the choice of the surgical strategy for ICL treatment.


METHODS
Retrospectively reviews the data of 13 cases of ICL from February 1995 to March 2007 in Anzhen Hospital. They were surgically treated under the CPB with different surgical strategy, and a quaternary classification scheme was used to classify them according to their anatomic pathological features of ICL.


RESULTS
There was no operative death. One patient with YBOR type of ICL died from recurrence due to the incomplete excision 5 months after the primary operation. The 5 yrs survival rate calculated by the Kaplan-Meier survival curve was 93% +/- 5%. Of the surviving 12 patients, 9 were in NYHA functional class I, and 3 in class II.


CONCLUSIONS
The surgical treatment of ICL can get a good mid-long term survival rate and living quality, and a quaternary classification scheme for ICL can be used to guide the choosing of surgical strategy and to understand the symptoms of ICL.
Gan
Hui-Li
HL
Cardiac Surgery Department, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China. ganhuili@hotmail.com
Zhang
Jian-Qun
JQ
Bo
Ping
P
Zhou
Qi-Wen
QW
Wang
Sheng-Xun
SX
Zheng
Si-Hong
SH
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006338:Heart Neoplasms / Q000145:classification / Q000473:pathology* / Q000601:surgery; D006801:Humans; D018231:Leiomyomatosis / Q000145:classification / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D012189:Retrospective Studies