PMID- 20231310
OWN - NLM
STAT- MEDLINE
DCOM- 20100824
LR  - 20100518
IS  - 1569-9285 (Electronic)
IS  - 1569-9285 (Linking)
VI  - 10
IP  - 6
DP  - 2010 Jun
TI  - Cardiac tumors in adults: surgical management and follow-up of 19 patients in an 
      Australian tertiary hospital.
PG  - 892-5
LID - 10.1510/icvts.2009.230029 [doi]
AB  - The objective of this report is to share our experience with the different types 
      of cardiac tumors, surgical management, postoperative complications and mid-term 
      outcome of patients in an Australian tertiary hospital. Nineteen patients 
      underwent cardiac surgery for tumors between 2001 and 2008. Their data was 
      prospectively collected and retrospectively analyzed. The mean follow-up was 17 
      months. The follow-up was 100% through telephone interviews. There were multiple 
      presenting symptoms with shortness of breath (7/19) as the most common. The 
      tumors were atrial myxoma (14/19), fibroelastoma (2/19), angiosarcoma (1/19) and 
      intravascular leiomyomatosis (1/19). A calcified thrombus (1/19) was misdiagnosed 
      as a tumor. The fibroelastomas were shaved preserving valvular function. The 
      angiosarcoma was incompletely resected with palliation intent. The leiomyomatosis 
      and atrial myxoma were completely resected with satisfactory outcome. There was 
      no in-hospital mortality. All patients were alive and were in New York Heart 
      Association (NYHA) class I, except for the patient with a high-grade angiosarcoma 
      who died eight months postoperatively. There was no evidence of recurrence in 
      follow-up echocardiograms. Our experience and outcome is consistent with current 
      literature. Atrial myxoma is the most common cardiac tumor and is curable with 
      complete surgical resection. Fibroelastomas can be shaved off with low-risk of 
      recurrence. Surgical management of angiosarcoma is palliative.
FAU - Matebele, Mbakise Pula
AU  - Matebele MP
AD  - Department of Cardiac Surgery, Princess Alexandra Hospital, 199 Ipswich Road, 
      Woolloongabba, Brisbane, QLD 4102, Australia.
FAU - Peters, Paul
AU  - Peters P
FAU - Mundy, Julie
AU  - Mundy J
FAU - Shah, Pallav
AU  - Shah P
LA  - eng
PT  - Journal Article
DEP - 20100315
PL  - England
TA  - Interact Cardiovasc Thorac Surg
JT  - Interactive cardiovascular and thoracic surgery
JID - 101158399
SB  - IM
CIN - Interact Cardiovasc Thorac Surg. 2010 Jun;10(6):895. PMID: 20479071
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Cardiac Surgical Procedures/adverse effects
MH  - Cardiopulmonary Bypass
MH  - Echocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Neoplasms/complications/diagnosis/mortality/physiopathology/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Palliative Care
MH  - Queensland
MH  - Retrospective Studies
MH  - Sternotomy
MH  - Time Factors
MH  - Tomography, X-Ray Computed
MH  - Treatment Outcome
EDAT- 2010/03/17 06:00
MHDA- 2010/08/25 06:00
CRDT- 2010/03/17 06:00
PHST- 2010/03/17 06:00 [entrez]
PHST- 2010/03/17 06:00 [pubmed]
PHST- 2010/08/25 06:00 [medline]
AID - icvts.2009.230029 [pii]
AID - 10.1510/icvts.2009.230029 [doi]
PST - ppublish
SO  - Interact Cardiovasc Thorac Surg. 2010 Jun;10(6):892-5. doi: 
      10.1510/icvts.2009.230029. Epub 2010 Mar 15.