SURGICAL EXCISION OF PRIMARY CARDIAC TUMOURS IN INFANCY

Australian and New Zealand Journal of Surgery - Tập 57 Số 9 - Trang 599-604 - 1987
P. D. Skilllington1, William J. Brawn1, Brian Edis1, Samuel Menahem1, A. W. Venables1, T.H. Goh1, Roger B.B. Mee1
1Royal Children's Hospital, Parkville, Victoria

Tóm tắt

Six cases of primary cardiac tumour have been operated upon in a 7 year period from 1 june 1979 until 1 june 1986. All patients were under 6 months of age at the time of operation and two of the patients were in their first week of life. The principal indication for surgery was obstruction mainly at the right or left ventricular outflow tract level. More recently echo evaluation alone has been adequate to define the problem prior to surgery. Surgical excision has been performed without mortality or significant complications. In most cases resection has been complete, although in one case residual tumour has been left because of attachment of the tumour to vital structures. Follow‐up of this case has not resulted in further surgery being required because of regrowth of the tumour. In one case, with co‐existent congenital heart disease, the tumour was brought to notice after palliative systemic to pulmonary artery shunt had been performed. From the cardiac view point gratifying results have been obtained both in the short and long term following surgical resection. However, for patients with rhabdomyoma, later development of symptomatic tuberosclerosis should be anticipated in 50% of cases.

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Tài liệu tham khảo

10.1016/0002-9149(68)90140-9

Menahem S., 1984, Echocardiographic diagnosis of cardiac tumours—royal children's hospital, melbourne, experience, Australas. Radial., 55, 2422

Corno A., 1984, Cardiac rhabdomyoma: surgical treatment in the neonate, J. Thorac Cardiovasc. Surg., 187, 725, 10.1016/S0022-5223(19)38455-7

10.1016/0002-9149(85)91163-4

10.1016/0002-8703(85)90610-6

10.1016/S0003-4975(10)60334-7

Kidder L. A., 1950, Congenital glycogenic tumours of the heart, Arch. Pathol., 49, 55

Pritchard R. W., 1951, Tumours of the heart. review of the subject and report of 150 cases, Arch. Pathol., 51, 98

Arciniegas E., 1980, Primary cardiac tumours in children, J. Thorac. Cardiovasc. Surg., 79, 582, 10.1016/S0022-5223(19)37924-3

10.1016/S0735-1097(85)80225-4

10.1002/path.1700810129

Batchelor T. M., 1954, Congenital glycogen tumours of the heart, Arch. Pathol., 39, 67

10.1016/S0003-4975(10)60334-7

Steinke W. E., 1972, Left atrial myxoma in a child, Paediatrics, 49, 580, 10.1542/peds.49.4.580

10.1097/00007611-198508000-00026