| چکیده انگلیسی مقاله |
Background: Primary cardiac tumors are rare tumors which should be operated urgently. In this study, cardiac myxoma have been evaluated from diagnosis until dis-charge in a 10 years period and then results including presenting symptoms, approach to the patients were compared with similar study in this center a decade ago. Methods: Patients who underwent operation for myxoma from year 2003 until 2013 in the Shahid Modarres Hospital were included in this study. Results: Eighteen patients included in the study, 11 female and seven male. Patients’ ages were in the range of 13 to 76 years (mean 53 years). Mean time from diagnosis to operation was 5.8 days and mean time from surgery to discharge was 8.6±6.1 days. Most common presenting symptoms were first clinical presentation in four patients. In all patents echocardiography was the main diagnostic modality. In addition to trans thoracic echocardiography (TTE), in five patients TEE was used and in 13 patients coronary angiography was used to rule out concomitant coronary artery disease. 94.4% of all tumors (17 cases) were primary cardiac tumors and only one tumor (5.6%) was recurrent. In 16 patients (88.9%) tumor were found in the Left Atrium (L.A) and in one case, tumor was found in both atria and in another case, tumor was in the ventricle. After tumor excision, atrial septum was repaired primarily in seven cases (38.9%) and with pericardial patch in 9 cases. One patient underwent concomitant coronary artery bypass graft (CABG) and another patient underwent concomitant pulmonary valve repair. 14 patients (77.8%) discharged from hospital without any post operative complication. Heart block occurred in one patient and cerebral emboli with secondary cerebrovascular accident (CVA) developed in two patients. One patient died (5.6%). Conclusion: Comparing results from two similar studies in two consecutive decades revealed that mean time from diagnosis to operation obviously was reduced but ad-vances in diagnostic modalities were unable to change clinical presentation or reduce age of tumor diagnosis or complications or size. |
| نویسندگان مقاله |
سید مسعود مجیدی تهرانی | seyed masoud majidi tehrani
department of cardiovascular surgery, shahid modarres hospital, shahid beheshti university of medical sciences, tehran, iran.
گروه جراحی قلب و عروق، بیمارستان شهید مدرس، دانشگاه علوم پزشکی شهید بهشتی
سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
حمید قادری | hamid ghaderi
cardiovascular research center, department of cardiovascular surgery, shahid modarress hospital, shahid beheshti university of medical sciences, saadat abad, po box 1998734383, tehran, iran. tel 98- 21- 22083106
تهران، سعادت آباد، بالاتر از میدان کاج، بیمارستان شهید مدرس، دفتر گروه جراحی قلب. تلفن 22083106-021
سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
مهنوش فروغی | mahnoosh foroughi
cardiovascular research center, resident of cardiovascular surgery, shahid modarres hospital, shahid beheshti university of medical sciences, tehran, iran.
مرکز تحقیقات قلب و عروق، بیمارستان شهید مدرس، دانشگاه علوم پزشکی شهید بهشتی
سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
منوچهر حکمت | manouchehr hekmat
department of cardiovascular surgery, shahid modarres hospital, shahid beheshti university of medical sciences, tehran, iran.
گروه جراحی قلب و عروق، بیمارستان شهید مدرس، دانشگاه علوم پزشکی شهید بهشتی
سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
محمود بهشتی منفرد | mahmoud beheshti monfared
cardiovascular research center, resident of cardiovascular surgery, shahid modarres hospital, shahid beheshti university of medical sciences, tehran, iran.
مرکز تحقیقات قلب و عروق، بیمارستان شهید مدرس، دانشگاه علوم پزشکی شهید بهشتی
سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
حسن تاتاری | hassan tatari
department of cardiovascular surgery, shahid modarres hospital, shahid beheshti university of medical sciences, tehran, iran.
گروه جراحی قلب و عروق، بیمارستان شهید مدرس، دانشگاه علوم پزشکی شهید بهشتی
سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
سیدمحسن میرحسینی | seyed mohsen mirhosseini
cardiovascular research center, resident of cardiovascular surgery, shahid modarres hospital, shahid beheshti university of medical sciences, tehran, iran.
مرکز تحقیقات قلب و عروق، بیمارستان شهید مدرس، دانشگاه علوم پزشکی شهید بهشتی
سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
ضرغام حسین احمدی | zargham hossein ahmadi
lung transplantation research center, national research institute of tuberculosis and lung diseases nritld , department of cardiovascular surgery, shahid beheshti university of medical sciences, tehran, iran.
مرکز تحقیقات پیوند ریه، پژوهشکده سل و بیماری های ریوی، مرکز آموزشی، پژوهشی و درمانی سل و بیماری های ریوی بیمارستان دکتر مسیح دانشوری، دانشگاه علوم پزشکی و شهید بهشتی
سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
زهرا انصاری اول | zahra ansari aval
lung transplantation research center, national research institute of tuberculosis and lung diseases nritld , department of cardiovascular surgery, shahid beheshti university of medical sciences, tehran, iran.
مرکز تحقیقات پیوند ریه، پژوهشکده سل و بیماری های ریوی، مرکز آموزشی، پژوهشی و درمانی سل و بیماری های ریوی بیمارستان دکتر مسیح دانشوری، دانشگاه علوم پزشکی و شهید بهشتی
سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
سیده عادله میر جعفری | seyedeh adeleh mirjafari
physician and researcher, brain and spinal injury research center basir , tehran university of medical sciences, tehran, iran.
پزشک و محقق ،مرکز تحقیقات ترمیم ضایعات مغزی و نخاعی، دانشگاه علوم پزشکی تهران
سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
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