Surgery for Primary Intrapericardial Tumors in Adults

Taguchi, Shinichi; Yozu, Ryohei

doi:10.1111/jocs.12164

Cited by 6 publications

(4 citation statements)

References 26 publications

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“…Pericardial tumors are known to originate from arteries that supply the coronary arteries (9). We performed coronary angiography because accurate identification of the origin of the blood supply is necessary for proper surgical resection of the pericardial tumor (3,9) and discovered the origin to be two supplying arteries connected to the RCA and LAD. Most cases of pericardial tumors are known to be asymptomatic, but involvement of the pericardium can cause chest pain, hemopericardium, and cardiac tamponade (10,11).…”

Section: Discussionmentioning

confidence: 99%

Hemangioma originating from the main pulmonary artery

Kim

Choi

et al. 2017

J. Thorac. Dis.

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In this study, we report the case of a 42-year-old female patient who was diagnosed with hemangioma in the pericardium connected to the main pulmonary artery. Chest CT revealed a hypodense, well-marginated, mass-like lesion, probably connected to the main pulmonary artery, and multiple heterogeneous attenuations were seen with contrast enhancement. The tumor was resected using conventional extracorporeal circulation for complete resection involving the main pulmonary artery wall. Pathologic examination revealed hemangioma. Because main pulmonary originated hemangioma is extremely rare, examination of these cases provides much needed data to further our understanding of this disease. We herein report such a case.

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Section: Discussionmentioning

confidence: 99%

Hemangioma originating from the main pulmonary artery

Kim

Choi

et al. 2017

J. Thorac. Dis.

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“…Results of these studies allow to make initial diagnosis and enable to plan surgery. Definitive diagnosis is usually made based on postoperative pathological findings [2,12].…”

Section: Literature Reviewmentioning

confidence: 99%

“…For primary pericardial tumors, radical surgery is the treatment of choice whenever possible, with acceptable operatory risks, especially if clinical symptoms occur, but also to prevent mechanical consequences of tumor growth [2,[11][12][13]. After surgery the long-term outcome for benign hemangioma are favorable, however hemangiomas have the potential to recurrence if the resection is incomplete [12,13].…”

Section: Literature Reviewmentioning

confidence: 99%

A 79‑year‑old man with pericardial tumor (RCD code: VI‑1B.4)

Widlińska

Sarnecka

Brózda

et al. 2014

Journal of Rare Cardiovascular Diseases

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A huge pericardial tumor was incidentally detected in 79 year old man during routine transthoracic echocardiography which was not presence in previously performed echocardiography studies (the last was 4 mounths ago). Tests performed (CT, CMRI) showed that the tumor did not significantly impair function of the heart or coronary arteries and suggested it was rather benign which was in discrepancy with a short history of appearance such a large tumor. The patient was referred for surgical treatment. During the procedure the tumor was initially identified as angiosarcoma and found to be inoperable. Only a biopsy for histological examination was performed, and Histopathological analysis indicated haemangioma without evidence of malignant tissue. After 4 mounths the patient stays in good condition.

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“…Cardiac tumors are uncommon in clinical practice, with an incidence of about 0.05%-0.20% (1). About 90% of cardiac tumors are benign (2,3), among which cardiac myxoma account for 70%-80%, and 80%-90% of that occur in the left atrium (4)(5)(6). Malignant tumors of the heart are relatively uncommon.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous ultrasound-guided core needle biopsy for the diagnosis of cardiac tumors: Optimizing the treatment strategy for patients with intermural and pericardial cardiac tumors

et al. 2022

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ObjectiveThe aims of this study are to investigate the clinical value and practical safety of ultrasound-guided percutaneous core needle biopsy on diagnosing cardiac tumor and to discuss the treatment strategy for cardiac intermural and pericardial tumors.MethodsThe clinical data were retrospectively collected for patients with intermural and pericardial cardiac tumors. The patients were divided into groups of surgical resection, surgical resection after obtaining pathological tissue by PUS-CNB, and/or radiotherapy according to the treatment modality. Ultrasound-guided aspiration biopsy was divided into cardiac tumor biopsy and extracardiac lesion biopsy according to patient conditions. The surgical time was recorded, and the safety and clinical application value of PUS-CNB for the diagnosis of cardiac tumors were evaluated in terms of complications and satisfaction with pathological sampling.ResultsA total of 18 patient cases were collected, and PUS-CNB of cardiac tumors was performed in 8 cases, with sampling times averaging 15.6 ± 3.0 min. Four cases of cardiac tumors combined with extracardiac tumors were biopsied, with puncture times averaging 13.0 ± 2.9 min. All 12 biopsied patients had no postoperative complications. Except for 1 failed biopsy, the biopsies were successful and the pathological results were consistent with the clinical diagnosis with a satisfaction rate of 91.7%. Except for two cases of surgical resection, the rest were considered for conservative treatment. Surgical resection and/or biopsy were performed in six cases, and two cases were aggravated after surgery. The final pathology of all 17 cardiac tumors was malignant.ConclusionPUS-CNB is safe and effective, providing a simple and undemanding method for accurate diagnosis of cardiac intermural and pericardial tumors while avoiding unnecessary open-heart surgery.

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Surgery for Primary Intrapericardial Tumors in Adults

Abstract: Primary intrapericardial tumors in adults, whether benign or malignant are rare. Surgical treatment for these tumors are reviewed together with their incidence, classification, clinical features, and diagnosis.

Cited by 6 publications

References 26 publications

Hemangioma originating from the main pulmonary artery

Hemangioma originating from the main pulmonary artery

A 79‑year‑old man with pericardial tumor (RCD code: VI‑1B.4)

Percutaneous ultrasound-guided core needle biopsy for the diagnosis of cardiac tumors: Optimizing the treatment strategy for patients with intermural and pericardial cardiac tumors

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