Tumores cardíacos primarios

Background: Primary cardiac tumors have a low incidence, and their presentation form and clinical course are not well known. Aim: To describe the characteristics, treatment, follow up and survival of patients with primary cardiac tumors (PCT). Material and Methods: Review of all surgical procedur...

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Autores principales:	González L.,Roberto, Toloza A.,Claudio, Reyes M.,Rodrigo, Spencer L.,Loreto, Seguel S.,Enrique, Stockins L.,Aleck, Jadue T.,Andrés, Riquelme U.,Alejandra, Ávalos T.,Matías, Barra M.,Sebastián, Alarcón O.,Felipe, Alarcón C.,Emilio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2020
Materias:	Cardiac Surgical Procedures Heart Neoplasms Myxoma Sarcoma
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000300327
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spelling	oai:scielo:S0034-988720200003003272020-06-11Tumores cardíacos primariosGonzález L.,RobertoToloza A.,ClaudioReyes M.,RodrigoSpencer L.,LoretoSeguel S.,EnriqueStockins L.,AleckJadue T.,AndrésRiquelme U.,AlejandraÁvalos T.,MatíasBarra M.,SebastiánAlarcón O.,FelipeAlarcón C.,Emilio Cardiac Surgical Procedures Heart Neoplasms Myxoma Sarcoma Background: Primary cardiac tumors have a low incidence, and their presentation form and clinical course are not well known. Aim: To describe the characteristics, treatment, follow up and survival of patients with primary cardiac tumors (PCT). Material and Methods: Review of all surgical procedures for PCT performed between 1984 and 2019 in a regional general hospital. The information was obtained from surgical protocols, surgical and pathology databases, medical records and registries of the Chilean National Identification Service. The clinical features of patients, immediate and long term outcomes are described. Results: Seventy-two surgical procedures for PCT were reviewed. Patients’ age was 55 ± 15 years and 60% were women. The most common histological types were myxoma in 49 patients (68%), papillary fibroelastoma in 13 (18%) and sarcoma in 6 (8.3%). Forty-nine (68.1%) were symptomatic and all tumors were found on echocardiography. Fifty-one (71%) were in the left atrium, 10 (14%) in the aortic valve and eight (11%) in the right atrium. The surgical procedures were tumor resection in 48 patients (67%) and resection and repair with patch in 23 (32%). Mean postoperative stay was 6.6 ± 4.4 days, eight patients (11%) had complications and no patient died in the immediate postoperative period. Long term survival was higher in patients with benign PCT as compared with those with malignant tumors. Conclusions: Most PCTs in this group of patients were benign neoplasms and the most common tumors were myxomas. The main diagnostic method is echocardiography and the prognosis of surgical treatment is excellent when the tumors are benign. (Rev Med Chile 2020; 148: 327-335)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.3 20202020-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000300327es10.4067/S0034-98872020000300327
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cardiac Surgical Procedures Heart Neoplasms Myxoma Sarcoma
spellingShingle	Cardiac Surgical Procedures Heart Neoplasms Myxoma Sarcoma González L.,Roberto Toloza A.,Claudio Reyes M.,Rodrigo Spencer L.,Loreto Seguel S.,Enrique Stockins L.,Aleck Jadue T.,Andrés Riquelme U.,Alejandra Ávalos T.,Matías Barra M.,Sebastián Alarcón O.,Felipe Alarcón C.,Emilio Tumores cardíacos primarios
description	Background: Primary cardiac tumors have a low incidence, and their presentation form and clinical course are not well known. Aim: To describe the characteristics, treatment, follow up and survival of patients with primary cardiac tumors (PCT). Material and Methods: Review of all surgical procedures for PCT performed between 1984 and 2019 in a regional general hospital. The information was obtained from surgical protocols, surgical and pathology databases, medical records and registries of the Chilean National Identification Service. The clinical features of patients, immediate and long term outcomes are described. Results: Seventy-two surgical procedures for PCT were reviewed. Patients’ age was 55 ± 15 years and 60% were women. The most common histological types were myxoma in 49 patients (68%), papillary fibroelastoma in 13 (18%) and sarcoma in 6 (8.3%). Forty-nine (68.1%) were symptomatic and all tumors were found on echocardiography. Fifty-one (71%) were in the left atrium, 10 (14%) in the aortic valve and eight (11%) in the right atrium. The surgical procedures were tumor resection in 48 patients (67%) and resection and repair with patch in 23 (32%). Mean postoperative stay was 6.6 ± 4.4 days, eight patients (11%) had complications and no patient died in the immediate postoperative period. Long term survival was higher in patients with benign PCT as compared with those with malignant tumors. Conclusions: Most PCTs in this group of patients were benign neoplasms and the most common tumors were myxomas. The main diagnostic method is echocardiography and the prognosis of surgical treatment is excellent when the tumors are benign. (Rev Med Chile 2020; 148: 327-335)
author	González L.,Roberto Toloza A.,Claudio Reyes M.,Rodrigo Spencer L.,Loreto Seguel S.,Enrique Stockins L.,Aleck Jadue T.,Andrés Riquelme U.,Alejandra Ávalos T.,Matías Barra M.,Sebastián Alarcón O.,Felipe Alarcón C.,Emilio
author_facet	González L.,Roberto Toloza A.,Claudio Reyes M.,Rodrigo Spencer L.,Loreto Seguel S.,Enrique Stockins L.,Aleck Jadue T.,Andrés Riquelme U.,Alejandra Ávalos T.,Matías Barra M.,Sebastián Alarcón O.,Felipe Alarcón C.,Emilio
author_sort	González L.,Roberto
title	Tumores cardíacos primarios
title_short	Tumores cardíacos primarios
title_full	Tumores cardíacos primarios
title_fullStr	Tumores cardíacos primarios
title_full_unstemmed	Tumores cardíacos primarios
title_sort	tumores cardíacos primarios
publisher	Sociedad Médica de Santiago
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000300327
work_keys_str_mv	AT gonzalezlroberto tumorescardiacosprimarios AT tolozaaclaudio tumorescardiacosprimarios AT reyesmrodrigo tumorescardiacosprimarios AT spencerlloreto tumorescardiacosprimarios AT seguelsenrique tumorescardiacosprimarios AT stockinslaleck tumorescardiacosprimarios AT jaduetandres tumorescardiacosprimarios AT riquelmeualejandra tumorescardiacosprimarios AT avalostmatias tumorescardiacosprimarios AT barramsebastian tumorescardiacosprimarios AT alarconofelipe tumorescardiacosprimarios AT alarconcemilio tumorescardiacosprimarios
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Tumores cardíacos primarios

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