Surgical Resection of Ventricular Cardiac Fibromas: Early and Late Results

John M. Cho, Gordon K. Danielson, Francisco J. Puga, Joseph A. Dearani, Christopher G A McGregor, Henry D. Tazelaar, Donald J. Hagler

Research output: Contribution to journalArticle

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Abstract

Background. Cardiac fibromas are rare tumors. Indications for and preferred type of operation are controversial, and little is known about early and late results of operation. Methods. We retrospectively reviewed records of 18 patients who underwent resection of ventricular cardiac fibromas from 1964 to October 2002. Follow-up was obtained from current medical records and recent telephone and written correspondence. Results. Seventeen patients had complete resection and 1 had subtotal resection of one or more fibromas. Tumors were located in the left ventricle (n = 12), septum (n = 4), or right ventricle (n = 2). A 2-month-old infant died intraoperatively. None of the surviving 17 patients had complete heart block. Follow-up lasted up to 33.7 years for a total of 172.1 patient-years. There were no late deaths. Fourteen patients were asymptomatic, 1 was in New York Heart Association functional class II, and 2 were in class III. There was no recurrence of tumor after complete resection and no change in size of residual tumor in the 1 patient who underwent subtotal resection. Conclusions. Although cardiac transplantation has been suggested by some as a preferable operation, most ventricular fibromas, even though extensive, can be completely resected with excellent early and late results. For patients with tumors extending into critical locations, subtotal excision can also give excellent late survival.

Original languageEnglish (US)
Pages (from-to)1929-1934
Number of pages6
JournalAnnals of Thoracic Surgery
Volume76
Issue number6
DOIs
StatePublished - Dec 2003

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Fibroma
Heart Ventricles
Neoplasms
Heart Block
Residual Neoplasm
Heart Transplantation
Telephone
Medical Records
Recurrence
Survival

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Cho, J. M., Danielson, G. K., Puga, F. J., Dearani, J. A., McGregor, C. G. A., Tazelaar, H. D., & Hagler, D. J. (2003). Surgical Resection of Ventricular Cardiac Fibromas: Early and Late Results. Annals of Thoracic Surgery, 76(6), 1929-1934. https://doi.org/10.1016/S0003-4975(03)01196-2

Surgical Resection of Ventricular Cardiac Fibromas : Early and Late Results. / Cho, John M.; Danielson, Gordon K.; Puga, Francisco J.; Dearani, Joseph A.; McGregor, Christopher G A; Tazelaar, Henry D.; Hagler, Donald J.

In: Annals of Thoracic Surgery, Vol. 76, No. 6, 12.2003, p. 1929-1934.

Research output: Contribution to journalArticle

Cho, JM, Danielson, GK, Puga, FJ, Dearani, JA, McGregor, CGA, Tazelaar, HD & Hagler, DJ 2003, 'Surgical Resection of Ventricular Cardiac Fibromas: Early and Late Results', Annals of Thoracic Surgery, vol. 76, no. 6, pp. 1929-1934. https://doi.org/10.1016/S0003-4975(03)01196-2
Cho JM, Danielson GK, Puga FJ, Dearani JA, McGregor CGA, Tazelaar HD et al. Surgical Resection of Ventricular Cardiac Fibromas: Early and Late Results. Annals of Thoracic Surgery. 2003 Dec;76(6):1929-1934. https://doi.org/10.1016/S0003-4975(03)01196-2
Cho, John M. ; Danielson, Gordon K. ; Puga, Francisco J. ; Dearani, Joseph A. ; McGregor, Christopher G A ; Tazelaar, Henry D. ; Hagler, Donald J. / Surgical Resection of Ventricular Cardiac Fibromas : Early and Late Results. In: Annals of Thoracic Surgery. 2003 ; Vol. 76, No. 6. pp. 1929-1934.
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