Abstract
Primary tumors of the heart are relatively rare. In comparison, metastases of tumors of other localizations are found in the heart 20-30 times more often than primary ones. The most common primary tumors of the heart are myxomas More than 50% of all primary tumors are myxomas. Myxoma is a primary, histologically benign tumor of the heart with exophytic growth and polypoid shape, developing in various parts of the cavities of the heart. The rarest localization of myxoma is the cavity of the left ventricle. Patients with this pathology are at risk due to the difficulty of diagnosing tumors in the early stages, extremely high embolism and technical difficulties during their surgical removal. The clinical picture, as a rule, develops with the already significant size of the formation, which hinders the flow of blood through the chambers of the heart and / or with the occurrence of embolic complications. This article presents a successful case of surgical treatment of a patient with a new formation in the cavity of the left ventricle.
References
- Crafoord C. Discussion on mitral stenosis and mitral insufficiency. In: Lam C.R. (ed.). Proceedings of the International Symposium on Cardiovascular Surgery. Philadelphia: W.B. Saunders; 1955.
- Kay J.H., Anderson R.M., Meihaus J., Lewis R., Magidson O., Bernstein S., Griffith G.C. Surgical removal of an intracavitary left ventricular myxoma. Circulation. 1959; 20: 881–6. DOI: 10.1161/01. cir.20.5.881
- Straus R., Merliss R. Primary tumor of the heart. Arch. Pathol. 1945; 39: 74.
- Tevosov D.R., Khugaev G.A., Vorontsova M.M., Sukhacheva T.V., Serov R.A. Oncopathology of the heart in the structure of biopsy and surgical material of the NMIC SSH named after A.N. Bakulev for the period from 2000 to 2018. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2018; 19 (2): 2–3 (in Russ.).
- Wilkes D., McDermott D.A., Basson C.T. Clinical phenotypes and molecular genetic mechanisms of Carney complex. Lancet Oncol. 2005; 6 (7): 501–8. DOI: 10.1016/S1470-2045(05)70244-8
- Petrov S.V., Raikhlin N.T. Guidelines for immunohistochemical diagnosis of human tumors. Moscow; 2004; 456 (in Russ.).
- Cetin G., Gursoy M., Ugurlucan M., Uzunhasan I., Hatemi A.C., Tireli E. et al. Single-institutional 22 years experience on cardiac myxomas. Angiology. 2010; 61 (5): 504–9. DOI: 10.1177/0003319709352489
- Velu D., Yendrapalli U., Aziz Q.U., Steuber T., Hritani A.A. 20-year single community-based tertiary care center’s experience with cardiac myxomas. Int. J. Cardiol. Heart Vasc. 2022; 8; 41: 101069. DOI: 10.1016/j.ijcha.2022.101069
- Bokeria L.A., Malashenkov A.I., Kavsadze V.E., Serov R.A. Cardionkologiya. Moscow; 2003 (in Russ.).
- Cohn L.H. Cardiac Surgery in the Adult. New York: McGraw-Hill, 2008.
- Zakharyan E.A. Myxomas of the heart: history of study, modern methods of diagnosis and treatment. Crimean Therapeutic Journal. 2012; 2 (19): 27–33 (in Russ.).
- Shinfeld A., Katsumata T., Westaby S. Recurrent cardiac myxoma: seeding or multifocal disease? Ann. Thorac. Surg. 1998; 66: 285–8.
- Svobodov A.A., Glushko L.A., Ergashov A.Yu. Surgical treatment of primary cardiac tumors in children systematic review and meta-analysis. Pediatr. Cardiol. 2022; 43 (2): 251–66. DOI: 10.1007/s00246-022-02814-2
About the authors
- Gufron A. Shamsiev, Dr. Med. Sci., Cardiac Surgeon; ORCID
- Tamara G. Jitava, Cand. Med. Sci., Cardiologist, Head of the Department of cardiac surgical treatment of patients with comorbid pathology; ORCID
- Olamafruz K. Abdullaev, Cand. Med. Sci., Cardiac Surgeon; ORCID
- Angelina G. Filatova, Cardiologist; ORCID
- Georgy A. Kusraev, Resident; ORCID
