Cardiac tumors risk factors for embolization
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Varun Kumar, M.B.B.S.
Risk Factors for Embolization
Cardiac tumors can cause systemic or pulmonary embolism. Neurological complications were observed in 12% of patients in a series involving 74 patients with atrial myxoma[1]. In another series which included 323 patients with cardiac tumors, 9.7% of patients experienced stroke, 9.3% experienced transient ischemic attack and 6% of patients experienced ischemia or infarction of other organs including pulmonary embolism[2].
Following risk factors for cardiac tumors causing embolization have been summarized based on the above mentioned studies:
- Left atrial tumors and tumors involving aortic valve are at greatest risk[2].
- Patients with small tumors(<13.3 cm3) , minimal symptoms, with no evidence of mitral regurgitation are at high risk for embolism[2].
- The mobility of the tumor is related to higher embolic potential than tumor size[1].
References
- ↑ 1.0 1.1 Lee VH, Connolly HM, Brown RD (2007). "Central nervous system manifestations of cardiac myxoma". Arch Neurol. 64 (8): 1115–20. doi:10.1001/archneur.64.8.1115. PMID 17698701.
- ↑ 2.0 2.1 2.2 Elbardissi AW, Dearani JA, Daly RC, Mullany CJ, Orszulak TA, Puga FJ; et al. (2009). "Embolic potential of cardiac tumors and outcome after resection: a case-control study". Stroke. 40 (1): 156–62. doi:10.1161/STROKEAHA.108.525709. PMID 18948602.