Primary Cardiac Tumours: Our Experience

Authors

  • J Sharma Department of Cardiac surgery and Anaesthesiology, Shahid Gangalal National Heart Centre, Kathmandu
  • S Sherchan Department of Cardiac surgery and Anaesthesiology, Shahid Gangalal National Heart Centre, Kathmandu
  • S Pradhan Department of Cardiac surgery and Anaesthesiology, Shahid Gangalal National Heart Centre, Kathmandu
  • B Rajbanshi Department of Cardiac surgery and Anaesthesiology, Shahid Gangalal National Heart Centre, Kathmandu
  • R Koirala Department of Cardiac surgery and Anaesthesiology, Shahid Gangalal National Heart Centre, Kathmandu
  • R Tamala Department of Cardiac surgery and Anaesthesiology, Shahid Gangalal National Heart Centre, Kathmandu
  • J Pokharel Department of Cardiac surgery and Anaesthesiology, Shahid Gangalal National Heart Centre, Kathmandu
  • MR Uprety Department of Cardiac surgery and Anaesthesiology, Shahid Gangalal National Heart Centre, Kathmandu
  • B Koirala Department of Cardiac surgery and Anaesthesiology, Shahid Gangalal National Heart Centre, Kathmandu

DOI:

https://doi.org/10.3126/njh.v8i1.8329

Keywords:

Cardiac tumours, Myxoma, Rhabdomyosarcoma, Angiosarcoma

Abstract

Introduction Primary cardiac tumours are rare with autopsy incidence of less than 0.1 percent. We present our experience on surgical treatment of such tumours.

Methods Since 2001, fifteen patients underwent surgical intervention for primary cardiac tumour at our centre. Mean age was 46.5 ± 17.5 years (range 20 to 73 years). There were eight female patients. Thirteen patients had atrial myxoma and the remaining two had primary malignant tumours. Surgical excision of the tumour was done under cardiopulmonary bypass and cardioplegic cardiac arrest.

Results Complete excision was possible in all benign cardiac tumours where as excision was possible in only one of the two malignant tumours. One patient with suspected angiosarcoma had biopsy taken from the heart. There was no operative mortality. All the patients with atrial myxoma were symptom free and free of recurrence on follow-up echocardiography. The patient with suspected angiosarcoma (histopathology was reported as hemangioma only) presented with disseminated disease and metastasis to thoracic spine with paraplegia three months postoperatively. The other patient with rhabdomyosarcoma who had complete excision of tumour followed by repair of the defect is currently on adjuvant chemotherapy.

Conclusion Surgical excision of primary benign cardiac tumours is possible with excellent surgical outcome where as outcome is guarded in primary malignant cardiac tumours.

DOI: http://dx.doi.org/10.3126/njh.v8i1.8329

Nepalese Heart Journal Vol.8(1) 2011 pp.8-11

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Published

2013-07-21

How to Cite

Sharma, J., Sherchan, S., Pradhan, S., Rajbanshi, B., Koirala, R., Tamala, R., Pokharel, J., Uprety, M., & Koirala, B. (2013). Primary Cardiac Tumours: Our Experience. Nepalese Heart Journal, 8(1), 8–11. https://doi.org/10.3126/njh.v8i1.8329

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Section

Original Articles