Cardiac tumors surgery
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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: Template:Dj
Overview
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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. [2]; Associate Editor(s)-in-Chief: Template:Dj
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
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Cardiac tumors Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
|
Cardiac tumors surgery On the Web |
|
American Roentgen Ray Society Images of Cardiac tumors surgery |
|
Risk calculators and risk factors for Cardiac tumors surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3]; Associate Editor(s)-in-Chief: Template:Dj
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 |
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| Myxoma | * Total excision
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| Papillary Fibroelastomas | *Surgical resection with reconstruction,
*less often, valve replacement. |
| Example | Example |
| Example | Example |
| Example | Example |
| Example | Example |
| Example | Example |
| Example | Example |
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.