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Primary Cardiac Tumors: A Twenty-Year Review

Department of Cardiovascular Surgery, University of Freiburg, Freiburg, Germany

Gustav Fraedrich, M.D.

Department of Cardiovascular Surgery, University of Freiburg, Freiburg, Germany

Wolfgang Kasper, M.D.

Department of Cardiology, University of Freiburg, Freiburg, Germany

Michael Schindler, M.D.

Department of Anesthesiology, University of Freiburg, Freiburg, Germany

Volker Schlosser, M.D.

Department of Cardiovascular Surgery, University of Freiburg, Freiburg, Germany

Twenty-five patients underwent resection of atrial tumors between 1970 and 1990. There were 14 primary cardiac tumors, consisting of 12 atrial myxomas, 1 angiosarcoma, and 1 fibrosarcoma. Eleven patients were excluded from echocardiographic follow-up; 7 of them had an atrial ball thrombus, and 4 had pericardial manifestations of malignant lymphomas. The remaining patients were routinely investigated by echocardiography. In 1 patient, myxoma was familial, and 2 patients had a myxoma syndrome with endocrine hyperactivity and lentiginosis. There were no operative deaths. The 2 patients with malignant tumors died three and sixteen months, respectively, after operation. All patients with atrial myxoma had follow-up by echocardiography up to eighteen years after operation with a mean follow-up of six and a half years. All patients are still alive and well. Myxoma recurred in 1 patient, detected by echocardiography on follow-up examination. Echocardiographic follow-up after myxoma resection is recommended for detection of late recurrence.

Vascular and Endovascular Surgery, Vol. 26, No. 7, 573-579 (1992)
DOI: 10.1177/153857449202600710


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