Surgical treatment of tumours of the heart. A report of two cases

Bickford, B. J.; Egan, M.; Bryce, A. Graham

doi:10.1002/bjs.18004318112

Cited by 18 publications

(4 citation statements)

References 9 publications

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“…One 17-month-old infant died shortly after complete removal of the tumour (Wilson et al, 1965). In others the extent of the tumour revealed at thoracotomy precluded removal, but, despite this, some of these patients had remained well for over a year following operation (Bickford, Egan, and Bryce, 1956;Edlund and Holmdahl, 1957;Hoen and Ellis, 1966).…”

Section: Discussionmentioning

confidence: 99%

Intramural fibroma of the left ventricle

Hall

1971

Thorax

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A case of left ventricular fibroma in a symptomless 17-year-old girl is described. The tumour was extensive and after its removal inadequate left ventricular function resulted in death at operation. The role of surgical treatment is discussed.Primary tumours of the heart are rare (Prichard, 1951;Hudson, 1965;Heath, 1968) and particularly uncommon is the intramural ventricular fibroma; only 36 cases had been reported up to 1967 (Geha, Weidman, Soule, and McGoon, 1967). Most of these intramural fibromas were found in infants and young children at either necropsy or thoracotomy, but over the past 15 years the diagnosis has been made before operation and in a few patients successful surgical removal has been accomplished (Parks, Adams, and Longmire, 1962;Geha et al., 1967;Bjork, Dahlgren, Rudhe, Zetterqvist, 1967;Kay et al., 1968;Osano et al., 1969).Because of the rarity of these tumours Freeman, Geer, Randall, and Palfrey (1963) suggested that cases should be reported in order to increase knowledge of their natural history, diagnosis, and treatment. The case described here is that of a young girl with a large intramural fibroma of the left ventricle, diagnosed preoperatively, who died at operation. CASE REPORTThe patient, a 17-year-old girl, was referred to the Department of Cardiology, Royal Infirmary, Edinburgh, by her general practitioner who had detected a precordial systolic murmur at routine medical examination.She was asymptomatic and apart from common childhood illnesses her previous health had been excellent. On specific enquiry, however, she had noticed occasional 'missed beats' during the preceding few months.She was of average build with sinus arrhythmia and a systemic blood pressure of 115/60 mmHg. The jugular venous pulse was normal. There was no cardiomegaly and no thrill, but systolic pulsation was palpable at the upper left sternal edge. Heart sounds were normal with inspiratory splitting of the second heart sound and no accentuation of the pulmonary component. A short grade 2/6 mid-systolic murmur was heard in the pulmonary area but was not audible in the axillae or over the back. No ejection sound, diastolic murmur or other abnormal physical sign was detected.The electrocardiogram ( Fig. la and b) showed sinus arrhythmia with occasional ventricular extrasystoles and symmetrical inversion of the T waves in the high anterolateral leads. Her chest radiograph (Fig. 2) showed a localized bulge on the upper left heart border. Pulmonary arteries and pulmonary vascularity were normal. No calcification was detected at fluoroscopy. The full blood picture, blood urea, electrolytes, and plasma proteins were normal.At cardiac catheterization pressures and oxygen saturations on the right and left sides of the heart were normal. Cine-angiography, performed from the right and left ventricles, demonstrated a large mass encroaching on the outflow tract of both ventricles and displacing the interventricular septum to the right. The left atrium was also distorted and the left atrial appendage was not filled with c...

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Section: Discussionmentioning

confidence: 99%

Intramural fibroma of the left ventricle

Hall

1971

Thorax

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“…Among the less common histological variants reported have been neurogenic sarcoma (Dam-mert, Elfving, and Halonen, 1955), malignant haemangendothelioma (Brandenburg and Edwards, 1954), myosarcoma (Leach, 1947), metastasizing malignant teratoma (Solomon, 1951), Anitschkow myocyte tumour (Mainwaring and Ayres, 1952), undifferentiated pericardial mesenchymoma (Bickford, Egan, and Bryce, 1956), and mixed mesenchymoma (Hagstrom, 1961).…”

Section: Discussionmentioning

confidence: 99%

Primary chondrosarcomatous mesenchymoma of the mitral valve.

Muir¹,

Seah²

1966

Thorax

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“…Microscopically the tumor was composed largely of dense fibrous tissue, but with striated cardiac muscle fibers interlaced throughout it in smnall numbers (fig. 5). This microscopic description is quite similar to case reports of rhabdomyoma, fibroma, and hamartonla.4-12 All these benign left ventricular tumors L1lEFT VENTRICULAR IIAMARTOMA Figure 1 Chest x-rays from August 1,958 through Jautary 196,2.…”

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confidence: 99%

Successful Excision of a Left Ventricular Hamartoma

1962

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A case of a 2-year-old child with a large hamartoma of the left ventricular wall is presented. The excision of the tumor is described, and a 2-year follow-up is given. Primary cardiac tumors should be suspected in patients with unexplained cardiac failure, unexplained cardiac arrhythmias, intracardiac calcifications, irregular shadows on x-ray, or symptoms and murmurs that change with position. Angiocardiography is suggested for diagnosis. Technical problems at operation involve the maintenance of satisfactory cardiac function and valve competence.

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Surgical treatment of tumours of the heart. A report of two cases

Cited by 18 publications

References 9 publications

Intramural fibroma of the left ventricle

Intramural fibroma of the left ventricle

Primary chondrosarcomatous mesenchymoma of the mitral valve.

Successful Excision of a Left Ventricular Hamartoma

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