Mkalaluh, Sabreen, Szczechowicz, Marcin, Torabi, Saeed, Sabashnikov, Anton, Mashhour, Ahmed, Karck, Matthias and Weymann, Alexander (2019). Surgical Treatment of Cardiac Metastases: Analysis of a 13-Year Single-Center Experience. Thorac. Cardiovasc. Surg., 67 (8). S. 659 - 665. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-1902

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Abstract

Background Cardiac metastases are more common than primary malignant tumors of the heart and are usually treated surgically as a palliative approach. In this study, we reviewed our experience with the surgical treatment of patients with cardiac metastases of various types of malignant tumors. Methods Between 2003 and 2016, 10 patients underwent surgery for cardiac metastases at our institution. Results The mean age was 53.5 +/- 19 years. Female patients made up 60% ( n = 6) of the collective. The cohort included cardiac metastases of diverse origins (peripheral sarcomas, melanoma, rectal carcinoma, and hepatocellular carcinoma). The left side of the heart was more frequently affected ( n = 7). In only six patients, the primary malignancy was known at the time of cardiac surgery. The interval between the first diagnosis of the primary tumor and cardiac metastases ranged from simultaneous diagnosis to up to 19 years. At the time of the diagnosis of the cardiac metastases, seven patients already had multiple metastases: all seven patients had pulmonary metastases, and three of them additionally had hepatic, cerebral, or osseous metastases. Only four patients were symptomatic (atrial fibrillation, pericardial effusion, tachycardia with chest pain, dyspnea). There was no in-hospital death. The postoperative course was uneventful overall. The one- and two-year survival rates were similar, that is, 76%. The median follow-up time was 5.4 years. Conclusions Surgical intervention for treating cardiac metastases is associated with uneventful clinical outcome and acceptable survival in this critically ill population. Control of the primary malignancy, and maybe other metastases, determines the survival.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Mkalaluh, SabreenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Szczechowicz, MarcinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Torabi, SaeedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sabashnikov, AntonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mashhour, AhmedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Karck, MatthiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Weymann, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-125757
DOI: 10.1055/s-0038-1667319
Journal or Publication Title: Thorac. Cardiovasc. Surg.
Volume: 67
Number: 8
Page Range: S. 659 - 665
Date: 2019
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 1439-1902
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
RECTAL ADENOCARCINOMA; COLORECTAL-CANCER; MALIGNANT-TUMORS; DIAGNOSIS; RESECTION; HEART; CARCINOMA; PATIENT; MASSMultiple languages
Cardiac & Cardiovascular Systems; Respiratory System; SurgeryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/12575

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