Primary cardiac tumors: Experience with 30 consecutive patients since the introduction of two-dimensional echocardiography

Experience with 30 consecutive patients who had a total of 32 primary cardiac tumors and who underwent two-dimensional echocardiography examinations between January 1977 and June 1983 was reviewed. Most of the tumors were atrial myxomas (20 left and 4 right), and 30 were identified on echocardiograp...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the American College of Cardiology 1985-06, Vol.5 (6), p.1465-1473
Main Authors: Earl Fyke, F., Seward, James B., Edwards, William D., Miller, Fletcher A., Reeder, Guy S., Schattenberg, Thomas T., Shub, Clarence, Callahan, John A., Jamil Tajik, A.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Angiocardiography
Biological and medical sciences
Cardiology. Vascular system
Echocardiography - methods
Female
Heart
Heart Atria
Heart Neoplasms - diagnosis
Heart Neoplasms - pathology
Heart Neoplasms - physiopathology
Hemangiosarcoma - diagnosis
Hemangiosarcoma - pathology
Hemangiosarcoma - physiopathology
Humans
Male
Medical sciences
Middle Aged
Myxoma - diagnosis
Myxoma - pathology
Myxoma - physiopathology
Myxosarcoma - diagnosis
Myxosarcoma - pathology
Myxosarcoma - physiopathology
Tumors of the heart
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Experience with 30 consecutive patients who had a total of 32 primary cardiac tumors and who underwent two-dimensional echocardiography examinations between January 1977 and June 1983 was reviewed. Most of the tumors were atrial myxomas (20 left and 4 right), and 30 were identified on echocardiography. Twenty-five patients, including 21 of 22 with atrial myxoma, underwent surgical resection on the basis of the echocardiographic examination, without preoperative angiocardiography. When the morphologic characteristics of the left atrial myxomas were studied statistically in relation to clinical abnormalities, large tumor size was most closely related to the number and type of associated clinical and laboratory abnormalities. The single exception was embolization, which correlated with echocardiography tumor consistency. Since the introduction of two-dimensional echocardiography, the yearly incidence of cardiac tumor diagnosis at this clinic has increased several fold and the incidence of unexpected intraoperative diagnosis has been very low (one case). Echocardiography is the method of choice for clinical diagnosis. It has replaced angiocardiography for routine preoperative assessment, permits early diagnosis of cardiac neoplasms and provides insight into the pathophysiology of primary cardiac tumors.
ISSN:0735-1097
1558-3597
DOI:10.1016/S0735-1097(85)80364-8