Primary cardiac valve tumors: Retrospective analysis of 11 cases of surgical treatment

Abstract

Objective: To explore the clinical features and surgical treatment experience of primary cardiac valve tumor. Methods: The present study retrospectively analyzed the clinical data of 11 patients with primary valvular tumors who underwent surgical treatment in our department from 1980 to 2016. Echocardiography of preoperative patients was indicated as a heart valve tumor. All patients underwent cardiopulmonary bypass surgery after endocardial angiography and positron emission tomography–computed tomography diagnosis, including four tumor resections–valvuloplasty and seven tumor resections–heart valve replacement. Pathological analysis was performed on all tumors. Postoperative cardiac ultrasound was followed up. Pathological analysis was performed on all tumors. All patients underwent postoperative ultrasound follow-up examination. Results: Primary valvular tumors are rare, accounting for only 0.034% (11/32.728) of extracorporeal circulation surgery in our center. It accounts for 2.8% (11/399) of primary cardiac tumors in the same period. Pathological study indicated that there were 10 cases of benign tumor and 1 case of low-grade sarcoma. After 0.6–16 years of follow-up, the operation effect was satisfactory. Conclusion: Most of these tumors are papillary fibroelastoma located on the mitral valve, and surgical operation is the best strategy for cardiac primary valve tumors.

Long-Term Efficacy Analysis of Surgical Resection of 70 Primary Right Heart Tumors

“…In 2019, we summarized the clinical characteristics of 11 heart valve tumors, of which 5 were papillary elastofibromas and all occurred in the left heart system. In addition, there were no recurrences or deaths within 5 years after surgical resection [ 12 ]. Among the 70 cases in this study, there were 2 cases (2.9%) of papillary elastofibromas, located in tricuspid valve and pulmonary valve, respectively ( Fig.…”

Diagnosis and Emergency Surgical Treatment of Giant Left Atrial Sarcoma: Clinical Cases

“…E. Prifti и соавт., 2015 [2] излагают опыт дифференциальной диагностики и экстренного успешного радикального оперативного лечения гигантской злокачественной фиброзной гистиоцитомы сердца у 54-летней женщины с необычным расположением первичного очага в проекции задней створки МК, с освобождением от опухолевых масс левой группы ЛВ, иссечением вовлеченной в процесс стенки предсердия и протезированием МК, указывая на отсутствие рецидивирования опухоли в течение последующего полугодового наблюдения пациентки. T. Li и соавт., 2018 [9] представили ретроспективный анализ клинических особенностей и хирургического лечения первичных опухолей клапанов сердца, частота которых, по их данным, составляет около 2,8% первичных опухолей сердца (11 случаев из 399 первичных сердечных образований среди 32 728 пациентов, оперированных за 36 лет работы стационара).…”