Surgical outcome in 85 patients with primary cardiac tumors

Faisal G. Bakaeen, Michael J. Reardon, Joseph S. Coselli, Charles C. Miller, Jimmy F. Howell, Gerald M. Lawrie, Rafael Espada, Mahesh K. Ramchandani, George P. Noon, Donald G. Weilbaecher, Michael E. DeBakey

Research output: Contribution to journalArticle

98 Scopus citations

Abstract

Background: We present a large, single institution experience with adult cardiac tumors and address factors affecting outcome. Methods: A retrospective review was made of all patients who underwent surgery for primary cardiac tumors from April 1975 through August 2002. Results: Eighty-five patients (33 male and 52 female) with a mean age of 54 years were identified with follow-up available for 80 (94%) patients. There were 68 (80%) benign tumors and 17 (20%) malignant tumors. Three tumors recurred and were resected giving a total of 88 surgeries. All benign tumors were grossly resected and the extent of resection for malignant disease ranged from 14 (78%) gross resections and 3 (17%) debulkings to 1 (5%) biopsy. There were 4 (5%) early hospital deaths. Median survival was 9.6 months and 322 months for patients with malignant and benign diseases, respectively. Significant predictors of long-term mortality were malignant disease (P <0.0001) and New York Heart Association class (P <0.03). Conclusions: Surgical resection provides excellent outcome in patients with benign cardiac tumors. Malignant tumors continue to pose a challenge with good local tumor control but limited survival owing to metastatic disease.

Original languageEnglish (US)
Pages (from-to)641-647
Number of pages7
JournalAmerican Journal of Surgery
Volume186
Issue number6
DOIs
StatePublished - Dec 2003

Keywords

  • Angiosarcoma
  • Autotransplantation
  • Cardiac
  • Histiocytoma
  • Myxomas
  • Tumors

ASJC Scopus subject areas

  • Surgery

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