Surgical experience with right ventricular tumors in 17 patients

Purpose Resection of cardiac tumors in the right ventricle sometimes requires valve plasty or replacement. We retrospectively studied surgical treatment for right ventricular tumors. Methods The study cohort consists of 210 consecutive patients who underwent surgical treatment for a cardiac tumor in...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2010-07, Vol.58 (7), p.317-322
Main Authors: Komoda, Satsuki, Komoda, Takeshi, Weng, Yuguo, Hetzer, Roland
Format: Article
Language:English
Subjects:
Adult
Aged
Cardiac Surgery
Cardiac Surgical Procedures
Cardiology
Female
Germany
Heart Neoplasms - pathology
Heart Neoplasms - physiopathology
Heart Neoplasms - surgery
Heart Valve Prosthesis Implantation
Heart Ventricles - pathology
Heart Ventricles - physiopathology
Heart Ventricles - surgery
Hemodynamics
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Staging
Original Article
Retrospective Studies
Surgical Oncology
Thoracic Surgery
Time Factors
Treatment Outcome
Tricuspid Valve - pathology
Tricuspid Valve - surgery
Tumors
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Summary:Purpose Resection of cardiac tumors in the right ventricle sometimes requires valve plasty or replacement. We retrospectively studied surgical treatment for right ventricular tumors. Methods The study cohort consists of 210 consecutive patients who underwent surgical treatment for a cardiac tumor in our hospital between January 1990 and December 2008. Clinical findings were reviewed retrospectively, and a follow-up study was performed. Results Of 210 cardiac tumors, 17 were located in the right ventricle. Of these17 right ventricular (RV) tumors, 13 were endocardial or intracavitary tumors, and 4 were epicardial tumors. Of the 17 patients, 5 underwent concomitant tricuspid valve surgery. Three of the five patients had endocardial tumors and underwent Kay annuloplasty; the other two had epicardial tumors, one of whom underwent reconstruction of the tricuspid annulus by suturing of an autologous pericardial strip, and one had tricuspid valve replacement with a 31-mm Hancock valve. Of the five patients with concomitant tricuspid valve surgery, none had an increase to grade 3 tricuspid regurgitation during follow-up. Conclusion Tricuspid valve annuloplasty for resection of RV tumors may be necessary, even for palliative operations, to improve the hemodynamics.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-009-0566-2