Cardiac tumors surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Cardiac tumors}} | {{Cardiac tumors}} | ||
{{CMG}}; {{AE}} {{ | {{CMG}}; {{AE}} {{DMakkar}} | ||
==Overview== | ==Overview== | ||
Surgery may be an option in specific cases of malignant tumors. | Surgery may be an option in specific cases of malignant tumors. | ||
*Patients with solitary heart illness and a managed primary tumor are optimal. | *Patients with solitary heart illness and a managed primary tumor are optimal. | ||
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==Surgery== | ==Surgery== | ||
Whether malignant or benign, clinical signs determine the criteria for emergency surgery. | Whether malignant or benign, clinical signs determine the criteria for emergency surgery. | ||
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! Tumor !! Treatment | ! Tumor !! Treatment | ||
|- | |- | ||
| '''[[Myxoma]]''' || | | '''[[Myxoma]]''' || Total excision | ||
**Surgical intervention is necessary for patients with '''severe dyspnea or a significant risk of embolism'''. | **Surgical intervention is necessary for patients with '''severe dyspnea or a significant risk of embolism'''. | ||
**'''Surgical mortality rate''' of less than 5% | **'''Surgical mortality rate''' of less than 5% | ||
**2% to 5% of patients are at '''risk for recurrence | **2% to 5% of patients are at '''risk for recurrence<ref name="pmid22447042">{{cite journal| author=Lamba G, Frishman WH| title=Cardiac and pericardial tumors. | journal=Cardiol Rev | year= 2012 | volume= 20 | issue= 5 | pages= 237-52 | pmid=22447042 | doi=10.1097/CRD.0b013e31825603e7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22447042 }} </ref> | ||
''' | ''' | ||
|- | |- | ||
|'''[[Papillary Fibroelastomas]]''' || Surgical resection with reconstruction, | |'''[[Papillary Fibroelastomas]]''' || Surgical resection with reconstruction, | ||
*Less often, valve replacement. | *Less often, valve replacement. <ref name="pmid22447042">{{cite journal| author=Lamba G, Frishman WH| title=Cardiac and pericardial tumors. | journal=Cardiol Rev | year= 2012 | volume= 20 | issue= 5 | pages= 237-52 | pmid=22447042 | doi=10.1097/CRD.0b013e31825603e7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22447042 }} </ref> | ||
|- | |- | ||
| '''[[Cardiac Rhabdomyoma]]''' || Therapeutic resection of the problem portion of the lesion | | '''[[Cardiac Rhabdomyoma]]''' || Therapeutic resection of the problem portion of the lesion<ref name="pmid22447042">{{cite journal| author=Lamba G, Frishman WH| title=Cardiac and pericardial tumors. | journal=Cardiol Rev | year= 2012 | volume= 20 | issue= 5 | pages= 237-52 | pmid=22447042 | doi=10.1097/CRD.0b013e31825603e7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22447042 }} </ref> | ||
|- | |- | ||
| '''[[Cardiac Fibroma]]''' || Complete excision/ Palliative partial resection | | '''[[Cardiac Fibroma]]''' || Complete excision/ Palliative partial resection<ref name="pmid22447042">{{cite journal| author=Lamba G, Frishman WH| title=Cardiac and pericardial tumors. | journal=Cardiol Rev | year= 2012 | volume= 20 | issue= 5 | pages= 237-52 | pmid=22447042 | doi=10.1097/CRD.0b013e31825603e7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22447042 }} </ref> | ||
|- | |- | ||
| '''[[Teratoma]]''' || Fetal Tumor Excision or Immediate surgery after Cesarian section | | '''[[Teratoma]]''' || Fetal Tumor Excision or Immediate surgery after Cesarian section<ref name="pmid22447042">{{cite journal| author=Lamba G, Frishman WH| title=Cardiac and pericardial tumors. | journal=Cardiol Rev | year= 2012 | volume= 20 | issue= 5 | pages= 237-52 | pmid=22447042 | doi=10.1097/CRD.0b013e31825603e7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22447042 }} </ref> | ||
|- | |- | ||
| '''[[Cardiac Lipoma]]''' || Complete Tumor resection | | '''[[Cardiac Lipoma]]''' || Complete Tumor resection<ref name="pmid22447042">{{cite journal| author=Lamba G, Frishman WH| title=Cardiac and pericardial tumors. | journal=Cardiol Rev | year= 2012 | volume= 20 | issue= 5 | pages= 237-52 | pmid=22447042 | doi=10.1097/CRD.0b013e31825603e7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22447042 }} </ref> | ||
|- | |- | ||
| '''[[Hemangioma]]''' || Conservative in asymptomatic | | '''[[Hemangioma]]''' || Conservative in asymptomatic | ||
*Radical Resection in symptomatic | *Radical Resection in symptomatic<ref name="pmid22447042">{{cite journal| author=Lamba G, Frishman WH| title=Cardiac and pericardial tumors. | journal=Cardiol Rev | year= 2012 | volume= 20 | issue= 5 | pages= 237-52 | pmid=22447042 | doi=10.1097/CRD.0b013e31825603e7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22447042 }} </ref> | ||
|- | |- | ||
| '''[[Hamartomas]]''' || Surgical Resection | | '''[[Hamartomas]]''' || Surgical Resection<ref name="pmid22447042">{{cite journal| author=Lamba G, Frishman WH| title=Cardiac and pericardial tumors. | journal=Cardiol Rev | year= 2012 | volume= 20 | issue= 5 | pages= 237-52 | pmid=22447042 | doi=10.1097/CRD.0b013e31825603e7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22447042 }} </ref> | ||
|} | |} | ||
'''Papillary Fibroelastoma''' | '''Papillary Fibroelastoma''' | ||
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{{WS}} | {{WS}} | ||
[[Category: | [[Category:needs english review]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Cardiology]] | [[Category:Cardiology]] | ||
Latest revision as of 20:22, 4 July 2022
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Cardiac tumors Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Cardiac tumors surgery On the Web |
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American Roentgen Ray Society Images of Cardiac tumors surgery |
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Risk calculators and risk factors for Cardiac tumors surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dheeraj Makkar, M.D.[2]
Overview
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
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
| Tumor | Treatment |
|---|---|
| Myxoma | Total excision
|
| Papillary Fibroelastomas | Surgical resection with reconstruction,
|
| Cardiac Rhabdomyoma | Therapeutic resection of the problem portion of the lesion[1] |
| Cardiac Fibroma | Complete excision/ Palliative partial resection[1] |
| Teratoma | Fetal Tumor Excision or Immediate surgery after Cesarian section[1] |
| Cardiac Lipoma | Complete Tumor resection[1] |
| Hemangioma | Conservative in asymptomatic
|
| Hamartomas | Surgical Resection[1] |
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.[2]
- 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.[3]
References
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 Lamba G, Frishman WH (2012). "Cardiac and pericardial tumors". Cardiol Rev. 20 (5): 237–52. doi:10.1097/CRD.0b013e31825603e7. PMID 22447042.
- ↑ 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.
- ↑ 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.