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Ann Thorac Surg 1991;52:886-895
© 1991 The Society of Thoracic Surgeons

Articles

Cardiac tumors: Clinical experience and surgical results in 74 patients

Albert Miralles, MD, Luis Bracamonte, MD, Halim Soncul, MD, Roberto Diaz del Castillo, MD, Rama Akhtar, MD, Valería Bors, MD, Alain Pavie, MD, Iradj Gandjbackhch, MD, Christian Cabrol, MD*

Department of Thoracic and Cardiovascular Surgery, Hopital de la Pitie, Paris, France

* Address reprint requests to Dr Cabrol, Service de Chirurgie Thoracique et Cardiovasculaire, Hopital de la Pitie, 83, Boulevard de l'Hopital, 75013 Paris, France.

A series of 75 cardiac tumors in 74 patients were operated on at La Pitie Hospital between 1972 and 1989. There were 73 primary and 2 metastatic tumors. Among the benign neoplasms, 58 were myxomas; seven of the nine malignant tumors were primary heart tumors. The mean age of the patients was 48 years (range, 9 to 75 years); 46 patients were female and 28 male. Fifty-seven percent of the patients had congestive heart failure, 13% had chest pain, 17% had neurological symptoms, and only 1 patient was totally asymptomatic. The cardiac tumors were incidental findings in 3 patients. Complete resection was carried out in 66 benign lesions and only four of the malignant tumors. All patients survived operation, although 4 died in the early postoperative period. Longterm results were excellent in patients with benign lesions, and no recurrences were found. In patients with malignant tumors, surgical procedures were only palliative and aimed at prolonging life; hence, prognosis remained unchanged.




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