TEN-YEAR EVALUATION OF CARDIAC MYXOMA IN SHAHID MODARRES HOSPITAL

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MAJIDI TEHRANI SEYED MASOUD; GHADERI HAMID; FOROUGHI MAHNOOSH; HEKMAT MANOUCHEHR; BEHESHTI MONFARED MAHMOUD; TATARI HASSAN; MIRHOSSEINI SEYED MOHSEN; HOSSEIN AHMADI ZARGHAM; ANSARI AVAL ZAHRA; MIRJAFARI SEYEDEH ADELEH

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Journal: Tehran University Medical Journal Year:2014 | Volume:72 | Issue:2 Page(s): 87-95

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Title

TEN-YEAR EVALUATION OF CARDIAC MYXOMA IN SHAHID MODARRES HOSPITAL

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Keywords

CARDIAC SURGERYQ2

HEART NEOPLASMSQ2

MYXOMAQ2

TREATMENT OUTCOMEQ3

Abstract

Background: Primary cardiac tumors are rare tumors which should be operated urgently. In this study, cardiac MYXOMA have been evaluated from diagnosis until discharge in a 10 years period and then results including presenting symptoms, approach to the patients were compared with similar study in this center a decade ago.Methods: Patients who underwent operation for MYXOMA from year 2003 until 2013 in the Shahid Modarres Hospital were included in this study.Results: Eighteen patients included in the study, 11 female and seven male. Patients' ages were in the range of 13 to 76 years (mean 53 years). Mean time from diagnosis to operation was 5.8 days and mean time from surgery to discharge was 8.6±6.1 days. Most common presenting symptoms were first clinical presentation in four patients. In all patents echocardiography was the main diagnostic modality. In addition to trans thoracic echocardiography (TTE), in five patients TEE was used and in 13 patients coronary angiography was used to rule out concomitant coronary artery disease.94.4% of all tumors (17 cases) were primary cardiac tumors and only one tumor (5.6%) was recurrent. In 16 patients (88.9%) tumor were found in the Left Atrium (L.A) and in one case, tumor was found in both atria and in another case, tumor was in the ventricle. After tumor excision, atrial septum was repaired primarily in seven cases (38.9%) and with pericardial patch in 9 cases. One patient underwent concomitant coronary artery bypass graft (CABG) and another patient underwent concomitant pulmonary valve repair. 14 patients (77.8%) discharged from hospital without any post operative complication. Heart block occurred in one patient and cerebral emboli with secondary cerebrovascular accident (CVA) developed in two patients. One patient died (5.6%).Conclusion: Comparing results from two similar studies in two consecutive decades revealed that mean time from diagnosis to operation obviously was reduced but advances in diagnostic modalities were unable to change clinical presentation or reduce age of tumor diagnosis or complications or size.

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APA: Copy

MAJIDI TEHRANI, SEYED MASOUD, GHADERI, HAMID, FOROUGHI, MAHNOOSH, HEKMAT, MANOUCHEHR, BEHESHTI MONFARED, MAHMOUD, TATARI, HASSAN, MIRHOSSEINI, SEYED MOHSEN, HOSSEIN AHMADI, ZARGHAM, ANSARI AVAL, ZAHRA, & MIRJAFARI, SEYEDEH ADELEH. (2014). TEN-YEAR EVALUATION OF CARDIAC MYXOMA IN SHAHID MODARRES HOSPITAL. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 72(2), 87-95. SID. https://sid.ir/paper/38440/en

Vancouver: Copy

MAJIDI TEHRANI SEYED MASOUD, GHADERI HAMID, FOROUGHI MAHNOOSH, HEKMAT MANOUCHEHR, BEHESHTI MONFARED MAHMOUD, TATARI HASSAN, MIRHOSSEINI SEYED MOHSEN, HOSSEIN AHMADI ZARGHAM, ANSARI AVAL ZAHRA, MIRJAFARI SEYEDEH ADELEH. TEN-YEAR EVALUATION OF CARDIAC MYXOMA IN SHAHID MODARRES HOSPITAL. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2014;72(2):87-95. Available from: https://sid.ir/paper/38440/en

IEEE: Copy

SEYED MASOUD MAJIDI TEHRANI, HAMID GHADERI, MAHNOOSH FOROUGHI, MANOUCHEHR HEKMAT, MAHMOUD BEHESHTI MONFARED, HASSAN TATARI, SEYED MOHSEN MIRHOSSEINI, ZARGHAM HOSSEIN AHMADI, ZAHRA ANSARI AVAL, and SEYEDEH ADELEH MIRJAFARI, “TEN-YEAR EVALUATION OF CARDIAC MYXOMA IN SHAHID MODARRES HOSPITAL,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 72, no. 2, pp. 87–95, 2014, [Online]. Available: https://sid.ir/paper/38440/en

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