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The Annals of Thoracic Surgery, Vol 49, 612-617, Copyright © 1990 by The Society of Thoracic Surgeons
MC Murphy, MS Sweeney, JB Putnam Jr, WE Walker, OH Frazier, DA Ott and DA Cooley
From 1964 to 1989, we performed operations on 133 patients with cardiac
tumors. There were 58 male and 75 female patients ranging in age from three
days to 81 years; 101 were adults, and 32 were children (less than 12 years
of age). Primary tumors (102 benign and 12 malignant) were found in 114
patients and metastatic tumors in 19. Symptoms included congestive heart
failure, arrhythmias, emboli, and chest pain. Diagnosis was accomplished
through angiography, echocardiography, computed tomography, and magnetic
resonance imaging. Operative treatment encompassed techniques ranging from
biopsy to complete excision (including hypothermic circulatory arrest and
cardiac autotransplantation) depending on the site of disease and the
extent of involvement. Overall operative survival was 91%. Twelve patients
died early (within 30 days of operation), and follow-up was obtained for
110 (90.9%) of the remaining 121 survivors (total patient-years of follow-
up, 572.8; mean follow-up, 5.2 years). Of the 20 patients who died late, 15
had malignant disease. Operative survival for patients with primary cardiac
malignancies and for those with metastatic disease was 83% and 68.4%,
respectively, with 3 and 5 patients, respectively, still living. We
advocate an aggressive surgical approach, especially in patients with
benign tumors, who can expect an excellent outcome. For patients with
malignant or metastatic disease, palliation and cure are also possible if
aggressive surgical actions are taken.
ARTICLES
Surgical treatment of cardiac tumors: a 25-year experience
Texas Heart Institute, University of Texas Health Science Center, Houston, Texas.
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