Los tumores cardíacos (parte de las masas cardiacas)experiencia monocentro (parte II)

Abstract

Introduction. Cardiac masses are a rare pathology, among which cardiac tumors (CT) stand out, which are the most frequent among them. Most tumors are metastatic. Among primitives, 75% are benign. Material and methods. The experience with CT at the Hospital Universitario de Canarias (HUC) in Tenerife, over 37 years and almost 8,000 extracorporeal interventions, plus some cases previously reported by the first author, are reviewed. The most frequent CTs operated on have been myxomas. This series is retrospectively analyzed using the statistical analysis program SPSS Statistics v20. Results. 83 myxomas were operated on, from March 1984 (beginning of the extracorporeal surgery program) to December 2021 (1-6 each year; 2.13/year). Age 34-62 years, mean 48.73. Men 33 (39.86%). Women 50 (60.24%). Of these, 77 were in the left atrium (75 in the septum). Three in the right atrium. Another 3 in the interatrial septum with growth in both atria). 76 patients (96.1%) were followed up. There was one in-hospital death (1.2%) and two in follow-up due to unrelated causes. In the Kaplan-Meier follow-up curve, 88% can reach 36 months of follow-up (95% CI). Some less frequent tumors are also reviewed. Conclusions. Although benign CTs are histologically benign, they may not be clinically so if they cause mortality or serious damage. The small surgical risk justifies the intervention given the risk of not doing it.