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Surgical Treatment of Large Left Ventricular Fibroma in Children

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Chinese Medical Journal 2017年第14期130卷 1737-1738页

作者： Zhong-Hua Xu Qing-Yu Wu Hong-Yin Li Hui Xue Ming-Kui Zhang Yong-Qiang Jin Department of cardiac Surgery First Hospital of Tsinghua University Beijing 100016 China

Primary cardiac tumors are rare in children,with the prevalence of 0.0017-0.28% in autopsy series.[1] Benign tumors account for over 90% of the *** fibromas （CFs） represent the second most common benign cardiac tumor in the pediatric population following *** can be asymptomatic or present with palpitations,cardiac murmur,arrhythmias,congestive heart failure,and even sudden death according to the size and location of the *** resection should be considered as the best option in symptomatic patients.[2,3] This study reported four surgical cases of large left ventricular fibroma in children.

关键词： cardiac Fibroma cardiac Surgery cardiac tumors Pediatrics

Coinciding anomalous coronary artery and papillary fibroelastoma

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Journal of Geriatric Cardiology 2016年第11期13卷 924-926页

作者： Saif Ibrahim Nachiket Patel Farah Al-Saffar Jean Touchan Division of Cardiology Department of Medicine University of Florida-Jacksonville Jacksonville Florida USA Division of Cardiology DePartment of Medicine Mayo Clinic Scottsdale Arizona USA Division of Cardiology Department of Medicine University of Kentucky Lexington Kentucky USA

The primary cardiac tumors are extremely rare tumors that arise from the normal cardiac tissues. There are benign variants （mostly myxoma） and malignant tumors. Fibroelastoma （FE） is the most common primary tumor,... 详细信息

关键词： Anomalous coronary artery cardiac tumors Fibroelastoma Valvular tumors

Six Years Clinical Experience and Surgical Considerations in Management of cardiac Myxoma in Iraqi Center for Heart Disease—Single Center Experience

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World Journal of Cardiovascular Surgery 2022年第8期12卷 173-183页

作者： Hozhan Hussein Blbas Abdulameer Mohsin Hussein Muhammad Mahmud Salim Laith Saleh Alkaaby Abdulsalam Y. Taha Department of cardiac Surgery Surgical Specialty Hospital—Cardiac Center College of Medicine Hawler Medical University Erbil Iraq Department of Thoracic and Cardiovascular Surgery College of Medicine University of Baghdad Baghdad Iraq Department of cardiac Surgery Surgical Specialty Hospital—Cardiac Center Erbil Iraq Department of cardiac Surgery Iraqi Center for Heart Diseases Baghdad Iraq Department of Thoracic and Cardiovascular Surgery College of Medicine University of Sulaimani Sulaymaniyah Iraq

Background: cardiac myxomas are the most frequently encountered benign cardiac tumors that if left untreated are inexorably progressive and potentially fatal. Surgery is the only way of treatment, and if not treated with the right surgical technique recurrence occurs. Objectives: In this single center study we documented the patterns of presentation, localization, surgical approaches and outcome of cardiac myxomas. Methods: This is a retrospective study of 20 patients who underwent surgical removal of atrial myxoma from January 2010 to December 2015. All patients underwent general investigations, and echocardiography was performed on all patients and surgery was done using extracorporeal circulation and mild hypothermia. Results: The ages of the patients ranged from 14 years to 71 years, with a mean of 51.45 years. Most myxomas (75%) originated from left atrium, 20% from right atrium and biatrial in 5% of cases. The male-to-female ratio was 1:2.3 (14 females and 6 males). Myxomas were more common in blood group A+ and B+. Chief complaints were dyspnea (70%) and palpitation (50%). The majority of masses were attached to the interatrial septum (65%) and four of cases (20%) arose from the lateral wall. Right atrial trans-septal incision was used in 55% of cases. No recurrence was recorded in our study. Six patients had postoperative complications, mainly in the form of arrhythmia (3 cases), bleeding (0ne case) and renal failure (one case) which resulted in the death of the patient. Conclusions: cardiac myxoma excision account for a very small percentage of cardiac procedures. Immediate surgical treatment is indicated because of high risk of embolization and sudden death. cardiac myxomas can be excised with a low rate of mortality and morbidity. Follow-up examination, including echocardiography, should be performed regularly.

关键词： Atrial Myxoma cardiac tumors cardiac Surgery

Primary cardiac Lymphoma: Three Case Reports and a Review of the Literature

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Open Journal of Blood Diseases 2021年第4期11卷 120-132页

作者： Clifford Michael Csizmar Zohar Sachs Zuzan Cayci Lihong Bu Michael Andrew Linden School of Medicine University of Minnesota Minneapolis USA Division of Hematology Oncology and Transplantation Department of Medicine University of Minnesota Minneapolis USA Department of Radiology University of Minnesota Minneapolis USA Division of Hematopathology Department of Laboratory Medicine and Pathology University of Minnesota Minneapolis USA

Primary cardiac lymphoma (PCL) is a rare entity that comprises only 1% - 2% of all cardiac tumors. Due to their scarcity and variable clinical presentation, early diagnosis is challenging. In this series, three cases of PCL from a single institution are described, which highlight the spectrum of presenting features and emphasize common principles. In the first case, a 73-year-old male who presented with dyspnea was found to have a 12.1 cm mass in the right ventricle. Biopsy via cardiac catheterization revealed diffuse large B cell lymphoma (DLBCL). He was treated with chemoimmunotherapy and survived for two months. The second case describes a 55-year-old female who presented with chest pain. Imaging revealed a 3.1 cm right atrial mass and bilateral pleural effusions, with cytology from the latter demonstrating DLBCL. She was lost to follow up after three cycles of chemoimmunotherapy. In the last case, an 80-year-old female presented with weakness. A 4.0 cm mass was discovered in the right atrium and the patient expired shortly after admission. Autopsy confirmed the diagnosis of DLBCL. These case summaries are followed by a review of the clinical presentation, diagnostic approach, and treatment outcomes of PCL.

关键词： Primary cardiac Lymphoma Diffuse Large B Cell Lymphoma cardiac tumors