Affiliation:
1. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University
2. Federal Center of Cardiovascular Surgery
Abstract
Aim. To analyze the preoperative status, intraoperative tumor characteristics and further clinical manifestations in patients after surgery for a cardiac tumor.Material and methods. The study included 54 patients who were operated on for a heart tumor from 2014 to 2020. We assessed clinical performance, diagnostic investigations before and after (during hospitalization) surgery, tumor size and histological characteristics.Results. Among patients operated on for cardiac tumors, women predominated (74%). Among comorbidities, hypertension (79,3%), chronic kidney disease (48,3%), and obesity (25,9%) were most common. There were following clinical manifestations before surgery: shortness of breath — 47 (81%) patients, palpitations and heart rhythm disturbance — 26 (44,8%), chest pain — 25 (43,1%), chest discomfort — 28 (49,1%), edema — 6 patients (10,3%). The predominant tumor localization was the left atrial fossa ovalis area (50%). According to histological analysis, myxoma prevailed — 38 cases (86,4%). After surgery, atrial fibrillation prevalence decreased from 8 patients before surgery to 6 after surgery (p=0,034), while left atrial size decreased by 0,6 mm (95% confidence interval, 4,39-6,2 mm) (p<0,001).Conclusion. According to presented analysis over a 6-year period, cardiac neoplasms are more common in women (74,1%), while the mean age of patients is 59,7 years. Among comorbidities, hypertension prevails — 79,3%. Histological examination revealed a predominance of myxoma (86,4%). Predominant tumor location was the left atrial fossa ovalis area (50%). Surgical treatment of neoplasms was effective. So, prevalence of atrial fibrillation decreased by 25%, while left atrial size decreased by 0,6 mm. Postoperative complications and in-hospital deaths were not registered.
Subject
Cardiology and Cardiovascular Medicine
Reference10 articles.
1. Sakovich VA, Grinstein YuI, Bobrovsky OA, Chernyavsky AM. Malignant tumors of the heart and pericardium: series. Krasnoyarsk Medical Academy. Krasnoyarsk: IPK Platina. 2004. р. 119 (In Russ.) ISBN: 5-8417-0021-9.
2. Shonbin AN, Mizintsova MA, Mirolyubova OA, Antonov AB. Cardiac tumors: an analysis of surgical treatment. Cardiology and cardiovascular surgery. 2016;9(4):39-42. (In Russ.) doi:10.17116/kardio20169439-42.
3. Leontyeva KA, Shchukin MM. Clinical case of tumor of the right ventricle of the heart. Collection: Actual problems of theoretical, experimental, clinical medicine and pharmacy. Materials of the 53rd Annual All-Russian Conference of Students and Young Scientists dedicated to the 90th anniversary of Doctor of Medical Sciences, Professor, Corresponding Member of the Russian Academy of Natural Sciences Anatoly Shulimovich Byshevsky. Tyumen, March 27-28, 2019. Tyumen: RIC “Iveks”, 2019. 430 p. (In Russ.)
4. Muratov RM, Amiragov RI, Sachkov AS, et al. Surgical method for treating various types of heart tumors for 15 years. Bulletin NTSSSH them A.N. Bakuleva RAMS. Cardiovascular diseases. 2019;20(S11):32. (In Russ.)
5. Kadyrova MV, Stepanova YuA, Grinberg MS, et al. Tumors of the heart: classification, clinical picture, characteristics, radial signs. Medical visualization. 2019;23(4):24-41. (In Russ.) doi:10.24835/1607-0763-2019-4-24-41.