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. 2022 Mar;19(1):36-40.
doi: 10.5114/kitp.2022.114553. Epub 2022 Mar 24.

Surgical treatment of primary cardiac tumors: 20-year single center experience

Martin Děrgel  1 , Ján Gofus  1 , Petr Smolák  1 , Václav Stejskal  2 , Ivo Hanke  1 , Jan Matějka  3 , Jiří Manďák  1 , Jan Vojáček  1
Affiliations

Surgical treatment of primary cardiac tumors: 20-year single center experience

Martin Děrgel et al. Kardiochir Torakochirurgia Pol. 2022 Mar.

Abstract

Introduction: Primary cardiac tumors are a rare condition presenting with a variety of symptoms. The outcomes of their surgical treatment in the modern era from central Europe have not been recently reported.

Aim: To evaluate the short- and long-term outcomes of the cardiac tumor operations at our department throughout the last 20 years.

Material and methods: This was a retrospective analysis of all primary cardiac tumor operations performed at our institution between 2000 and 2020. Perioperative data were extracted from patient records. Long-term data were provided by the National Registry of Cardiac Surgery.

Results: Sixty procedures for primary cardiac tumor were performed throughout the study period. The most common type of tumor was myxoma (88%), followed by fibroelastoma (8%), lipoma (2%) and sarcoma (2%). There were 2 perioperative deaths (3%). The most common perioperative complication was atrial fibrillation (47%). One (2%) patient underwent reoperation 6 years later because of myxoma recurrence. We recorded 13 long-term deaths, but only 1 patient died as a consequence of cardiac tumor (sarcoma) 15 months after the surgery. Long-term survival of the cohort was comparable with the age- and sex-matched general population up to 15 years postoperatively (relative survival 0.91, CI 0.68-1.23). Rich histopathological illustrations are provided in the online supplementary material.

Conclusions: Surgical resection is the standard treatment of primary cardiac tumors. The outcomes of benign tumors are excellent and the long-term postoperative survival is comparable with the general population. The prognosis of malignant tumors remains poor.

Keywords: cardiac oncosurgery; long-term survival; primary cardiac tumor; surgical resection.

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Conflict of interest statement

The authors report no conflict of interest.

Figures

Figure 1
Figure 1
Kaplan-Meier analysis of long-term survival after surgery for primary cardiac tumor
Figure 2
Figure 2
Long-term relative survival comparison of the study cohort with age- and sex-matched general population
See this image and copyright information in PMC

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