Cardiac tumors surgery: Difference between revisions
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{{Cardiac tumors}} | {{Cardiac tumors}} | ||
==Overview== | |||
==Surgery== | |||
'''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 valve]]or right atrium.<ref name="Kim-2007">{{cite journal | author=Kim RW, Jeffery ME, Smith MJ, Wilensky RL, Woo EY, Woo YJ. | title=Minimally invasive resection of papillary fibroelastoma in a high-risk patient. | journal=J Cardiovasc Med (Hagerstown) | year=2007 | volume=8 | issue=8 | pages=639-41 | id=PMID 17667039}}</ref> | |||
:*In the case of aortic valve involvement, excision of the tumor is often valve-sparing, meaning that replacement of the valve with a [[aortic valve replacement|prosthetic valve]] is not necessary. Repair of the native valve with a pericardial patch has been described.<ref name="Westhof-2007">{{cite journal | author=Westhof FB, Chryssagis K, Liangos A, Batz G, Diegeler A. | title=Aortic valve leaflet reconstruction after excision of a papillary fibroelastoma using autologous pericardium. | journal=Thorac Cardiovasc Surg | year=2007 | volume=55 | issue=3 | pages=204-7 | id=PMID 17410513}}</ref> | |||
==References== | ==References== |
Revision as of 14:12, 2 May 2016
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Overview
Surgery
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.[1]
- 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.[2]
References
- ↑ 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.