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Cardiac masses

Experience from a Turkish tertiary center of cardiology

Kardiale Raumforderungen

Erfahrungen aus einem türkischen kardiologischen Zentrum der Tertiärversorgung

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Abstract

Objective

Cardiac masses comprise a category that includes benign, malignant, and nontumoral mass lesions. The present study aims to share the findings relating to cardiac masses observed at our tertiary cardiology hospital in Turkey.

Methods

The records of patients who presented with cardiac masses and underwent surgery at our institute between 2006 and 2015, and whose tissue samples were sent to a pathology laboratory, were retrospectively reviewed in a consecutive manner.

Results

The study included 228 patients with an average age of 52.5 ± 17.3 years. Of the study’s subjects, 95 (41.7%) were male and 133 (58.3%) female. The most commonly observed mass was myxoma in 68 patients (29.8%), of whom 20 (29.4%) were male and 48 (70.6%) female. The second most frequently detected mass was pannus, with 38 cases (16.7%) – 10 (26.3%) in males and 28 (73.7%) in females. The third most common cardiac mass was thrombus (16.2%), with 18 cases of thrombi in men (48.6%) and 19 (51.4%) in women.

Conclusion

The most commonly observed cardiac mass was myxoma and most were localized in the left atrium. The second most frequently detected mass was pannus, which was mostly found on mitral mechanical prosthetic valves. Thrombi were the third most prevalent mass and were commonly localized in the right atrium.

Zusammenfassung

Ziel der Arbeit

Kardiale Raumforderungen bilden eine Kategorie, zu der benigne, maligne und nichttumorale Raumforderungen gehören. Die vorliegende Studie hat zum Ziel, die Befunde im Zusammenhang mit kardialen Raumforderungen darzustellen, die in einem kardiologischen Krankenhaus der Tertiärversorgung in der Türkei von den Autoren erhoben wurden.

Methoden

Konsekutiv wurden die Krankenakten von Patienten retrospektiv ausgewertet, die sich zwischen 2006 und 2015 wegen kardialer Raumforderungen vorstellten, sich einer Operation in der Klinik der Autoren unterzogen und deren Gewebeproben an ein pathologisches Institut geschickt wurden.

Ergebnisse

Die Studie umfasste 228 Patienten mit einem Durchschnittsalter von 52,5 ± 17,3 Jahren. Von den Studienteilnehmern waren 95 (41,7%) männlich und 133 (58,3%) weiblich. Die am häufigsten beobachtete Raumforderung war ein Myxom: bei 68 Patienten (29,8%), davon 20 (29,4%) männlich und 48 (70,6%) weiblich. Zweithäufigster Befund bei den Raumforderungen war Pannus mit 38 Fällen (16,7%) – 10 (26,3%) bei Männern und 28 (73,7%) bei Frauen. Dritthäufigste kardiale Raumforderung war ein Thrombus (16,2%), mit 18 Fällen bei Männern (48,6%) und 19 (51,4%) bei Frauen.

Schlussfolgerung

Häufigster Befund bei den kardialen Raumforderungen war ein Myxom, zumeist im linken Vorhof lokalisiert. Zweithäufigste Raumforderung war Pannus, dieser fand sich meistens auf mechanischen Mitralklappenprothesen. Thromben stellten die dritthäufigste Raumforderung dar und waren gewöhnlich im rechten Vorhof lokalisiert.

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Authors and Affiliations

  1. Department of Cardiology, Kartal Kosuyolu Heart & Research Hospital, 34846, Kartal, Istanbul, Turkey

    C. Gecmen MD, M. Kahyaoglu MD, B. Omar MD, S. Izci MD, A. Kalayci MD, C. Y. Karabay MD, O. Candan MD, E. Yanik MD & I. A. Izgi MD

  2. Department of Pathology, Dr. Lutfi Kirdar Education and Research Hospital, Istanbul, Turkey

    G. G. Gecmen MD, S. Coban MD & N. O. Barisik MD

Authors
  1. C. Gecmen MD
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  2. G. G. Gecmen MD
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  3. M. Kahyaoglu MD
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  6. A. Kalayci MD
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  7. C. Y. Karabay MD
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Correspondence to C. Gecmen MD.

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Conflict of interest

C. Gecmen, G.G. Gecmen, M. Kahyaoglu, B. Omar, S Izci, A. Kalayci, C.Y. Karabay, S. Coban, O. Candan, E. Yanik, I.A. Izgi, and N.O. Barisik declare that they have no competing interests.

This article does not contain any studies with human participants or animals performed by any of the authors.

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Gecmen, C., Gecmen, G.G., Kahyaoglu, M. et al. Cardiac masses. Herz 42, 690–695 (2017). https://doi.org/10.1007/s00059-016-4508-3

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