Satsuki Komoda1, Takeshi Komoda, Yuguo Weng, Roland Hetzer. 1. Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Augustenburger Platz 1, 13353 Berlin, Germany. satsuki@dhzb.de
Abstract
PURPOSE: Resection of cardiac tumors in the right ventricle sometimes requires valve plasty or replacement. We retrospectively studied surgical treatment for right ventricular tumors. METHODS: The study cohort consists of 210 consecutive patients who underwent surgical treatment for a cardiac tumor in our hospital between January 1990 and December 2008. Clinical findings were reviewed retrospectively, and a follow-up study was performed. RESULTS: Of 210 cardiac tumors, 17 were located in the right ventricle. Of these17 right ventricular (RV) tumors, 13 were endocardial or intracavitary tumors, and 4 were epicardial tumors. Of the 17 patients, 5 underwent concomitant tricuspid valve surgery. Three of the five patients had endocardial tumors and underwent Kay annuloplasty; the other two had epicardial tumors, one of whom underwent reconstruction of the tricuspid annulus by suturing of an autologous pericardial strip, and one had tricuspid valve replacement with a 31-mm Hancock valve. Of the five patients with concomitant tricuspid valve surgery, none had an increase to grade 3 tricuspid regurgitation during follow-up. CONCLUSION: Tricuspid valve annuloplasty for resection of RV tumors may be necessary, even for palliative operations, to improve the hemodynamics.
PURPOSE: Resection of cardiac tumors in the right ventricle sometimes requires valve plasty or replacement. We retrospectively studied surgical treatment for right ventricular tumors. METHODS: The study cohort consists of 210 consecutive patients who underwent surgical treatment for a cardiac tumor in our hospital between January 1990 and December 2008. Clinical findings were reviewed retrospectively, and a follow-up study was performed. RESULTS: Of 210 cardiac tumors, 17 were located in the right ventricle. Of these17 right ventricular (RV) tumors, 13 were endocardial or intracavitary tumors, and 4 were epicardial tumors. Of the 17 patients, 5 underwent concomitant tricuspid valve surgery. Three of the five patients had endocardial tumors and underwent Kay annuloplasty; the other two had epicardial tumors, one of whom underwent reconstruction of the tricuspid annulus by suturing of an autologous pericardial strip, and one had tricuspid valve replacement with a 31-mm Hancock valve. Of the five patients with concomitant tricuspid valve surgery, none had an increase to grade 3 tricuspid regurgitation during follow-up. CONCLUSION: Tricuspid valve annuloplasty for resection of RV tumors may be necessary, even for palliative operations, to improve the hemodynamics.
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