28例心脏肿瘤患者的临床特点和外科治疗

目的 总结心脏肿瘤的临床特点和外科治疗结果.方法 回顾性分析2013～ 2019年我中心收治的28例诊断为心脏肿瘤患者的临床资料,其中男12例、女16例,年龄1个月至69岁,中位年龄11.5岁,体重39.0 (4.8～ 100.0)kg.患者均在全身麻醉体外循环下行肿瘤切除术,术中切除肿瘤标本行病理学检查.结果 原发性...

Clinical characteristics and surgical treatment of cardiac tumors in 28 patients

Objective To analyze the clinical characteristics and surgical treatment results of cardiac tumors.Methods Clinical data of 28 patients with cardiac tumors,who underwent cardiac surgery in our hospital from 2013 to 2019 were retrospectively reviewed.There were 12 males and 16 females.The median age was 11.5 years,ranging 1 month to 69 years;and the median weight was 39.0(4.8-100.0)kg.All patients underwent tumor resection under cardiopulmonary bypass with general anesthesia,and postoperative pathological analysis was performed.Results There were 27 patients with primary cardiac tumors and 1 patient with secondary cardiac tumor.Among the primary cardiac tumors,there were 16 myxomas,5 rhabdomyomas,3 inflammatory myofibroblastomas,2 fibroids and 2 hemangiomas.The secondary cardiac tumor was chondrosarcoma.A total of 28 cardiac tumors occurred in 29 locations,including 14 in the left atrium,3 in the right atrium,1 in the left ventricle,7 in the right ventricle,2 in the mitral and 2 in the tricuspid.Cerebral embolism occurred in 6 patients,peripheral vascular embolism in 3 patients,and syncope in 3 patients.There was no death during the perioperative period and in the long term follow-up.Complete resection was performed in 25 patients and partial resection was performed in 3 patients.During the follow-up,2 patients with myxoma received reoperation for recurrence.Among the 3 patients with partial resection,residual tumor tissue disappeared in 2 patients,and in the other patient,there was no change in the size of the residual tumor tissue during the follow-up compared to that at discharge.Conclusion Cardiac surgery is an effective method for patients with primary benign cardiac tumors.However,whether the cardiac tumor tissue can be completely removed depends on the anatomical location of the tumor during the operation.If there are systemic embolism events and syncope,the possibility of cardiac tumors should be considered.