• Journal of Chest Surgery
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• 제23권6호
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• pp.1158-1167
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• 1990

Since November 1979, 20 patients have undergone excision of an intracardiac myxoma, which was located in the left atrium in 18[90%], in the right atrium in 1[5%], and in the right ventricle in 1[5%], There were 17 female and 3 male patients with a mean age of 43.5 years [range 23 to 68 years]. Only one patient was asymptomatic, the others were seen mostly exertional dyspnea, palpitation, sings of systemic illness. Diagnosis was confirmed by echocardiography in all cases and angiography in two cases, preoperatively, The myxomas were successfully removed in all patients, either by shaving them from the atrial septum or by excising a portion of normal atrial septum with tumor. All heart chambers were carefully explored for presence of multi-centric myxoma or tumor debris. We conclude that excision of intracardiac myxoma is curative and long term survival is excellent and long term clinical and echocardiographic follow-up are recommended since late recurrence, although rare, has been reported.

• Journal of Chest Surgery
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• 제2권1호
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• pp.73-76
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• 1969

It is well known that the atrial myxoma is the most common intracardiac tumor which is hardly able to be diagnosed preoperatively and is completely curable if surgical treatment is appropriate. A case of the atrial myxoma, which was misdiagnosed as mitral valvular disease preoperatively and was successfully removed with the aid of the cardiopulmonary bypass, was reported. The common symptoms,signs,diagnostic measures and treatments of the intracardiac tumor were discussed with the review of literatures.

• Journal of Chest Surgery
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• 제28권3호
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• pp.316-319
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• 1995

Systemic emboli occur in approximately one-third of patients with cardiac myxoma. Embolization is common because of the friability of the tumor and intracardiac location. Embolic episodes in young patients with normal sinus rhythm should arouse suspicions of cardiac myxoma in the absence of active endocarditis. We present one case of 17 years old girl having saddle embolism combined with left atrial myxoma. We planned staged operation. First, the emergency thromboembolectomy of aortic bifurcation was performed through bilateral transfemoral approach with use of Forgaty catheter. One week later, the extirpation of myxoma was successfully done with ECC.

• Journal of Chest Surgery
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• 제25권9호
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• pp.930-935
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• 1992

Cardiac myxoma is the most common benign tumor of the heart, accounting for about half of primary cardiac tumors. It has clinical importance because the excision of the intracardiac myxoma is curative and long term survival is excellant, Their average size is about 5~6cm in diameter in most reported cases. We have experienced a giant atrial myxoma, arised from the interatrial septum of the left atrial side, and resected under the cardiopulmonary bypass.

• Journal of Chest Surgery
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• 제43권1호
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• pp.77-80
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• 2010

심장 내 정맥류는 내피세포로 피복된 단방성의 혈성 낭종의 조직학적 특징을 보이는 매우 드문 심장 내 질환으로 알려져 있다. 본 증례는 수술 전에 우심방에 발생한 점액종이 의심되어 수술적 절제를 시행한 환자에서 수술 후 심장 내 발생한 정맥류임을 확인한 2예에 대하여 보고하는 바이다.

• Journal of Chest Surgery
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• 제15권1호
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• pp.107-111
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• 1982

Primary cardiac tumor is rare and the most Intracardiac tumor is atrial myxoma which occurs about 75% in left atrium, Biatrial myxomas are very rare Intracardiac tumor which have reported first by Ripstein in 1953 and successful surgical removal by Beeler and Kaufmann in 1961. We have experienced a case of biatrial myxomas intraoperatively which had diagnosed as left atrlal myxoma preoperatively and removed those under moderate hypothermia and cardiopulmonary bypass at the first In Korea, The patient was discharged with .good results, So we want to report this case with the review of the literatures.

• Journal of Chest Surgery
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• 제31권8호
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• pp.816-819
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• 1998

점액종은 심장 종양의 가장 흔한 형태이며 주로 좌심방에서 발견된다. Carney 등에 의하면가 족성을 가지 며 점액종(심장, 피부, 유방), 반점상의 피부 색소침착와 내분비성 질환이 동반된 증후군을 점액종 증후군 이라 명명하였다. 저자들은 얼굴과 좌완에 피부병변이 있고 좌심방과 우측 유두에서 점액종이 발견되고 가 족력이 있는 19세 여자를 Carney 증후군을 가진 가족성 심방 점액종으로 진단하여 좌심방 중격과 승모판에 부착된 점액종을 성공적으로 절제하였다. 심장 점액종의 가족성이 있는 동일 가족 구성원은 증상이 발현되 지 않더라도 심장 점액종을 발견하기 위해 선별적 심방초음파 검사가 주기적으로 실시되어야하며 재발과 다 발성병변이므로 수술시 종양의 완전 절제와 수술후 추적검사가 필요하다.

• Journal of Chest Surgery
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• 제25권2호
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• pp.176-182
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• 1992

From April 1977 to March 1991, 44 patients have undergone excision of intracardiac myx-omas, 36 cases were located in the left atrium[81.6%], 3 cases in the right atrium[6.6%], 2 cases in the right ventricle[4.5%], 3 cases in the left ventricle[6.6%], There were 32 female and 12 male. The mean age of patients was 39.6$\pm$12.3 years[ranged 11 to 67 years]. The major preoperative symptoms included exertional dyspnea in 35[79.6%], palpitation in 23[52.3%], syncopal episodes in 9[20.4%], and signs of systemic illness; low-grade fever, weight loss, arthralgia, headache and so on. The diagnosis was made by echocardiography alone in 7[15.9%], and by combination of angiography and echocardiography in 37[84.1%]. The weight of the tumor ranged from 15 to 115gm[mean weight, 47.6$\pm$27.6gm], and the volum of the tumor was 129.1cm3[$\pm$149.0]. Follow-up time ranged from 0.6 to 9 years[mean follow-up, 65$\pm$3.22 years]. There were no early and late deaths during the follow-up period. Tumor recurred in one patient with left atrial myxoma 8 years later, who underwent successful reoperation. Postoperative complications occurred in 12 patients: episodes of sup-raventricular arrhythmia in 7, convulsion in 2, wound problem in 2, tricuspid valve regurgitation in 1, massive bleeding in 1, and intubation granuloma in one. In conclusion, surgical excision of the myxoma can be considered curative with excellent long-term result.

• 한국임상수의학회지
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• 제29권6호
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• pp.483-487
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• 2012

심장에 발생하는 원발성 그리고 전이성 종양은 개에서는 흔치 않다. 우리는 본 연구에서 심장초음파적 진단을 이용하여 요크셔테리어 2마리에서 발생한 심장내 종괴를 확인하였다. 첫째 증례에서의 종괴는 상행 대동맥과 폐동맥 사이에 위치하고 있었으며, 중증도의 대동맥 역류와 좌심실의 확장을 유발하고 있었다. 이 증례의 환자등급은 ISACHC II 등급의 심부전으로 분류되었다. 환자에 대한 심장처방으로는 furosemide, enalapril, pimobendan 그리고 경구적인 화학요법으로는 lomustine가 처방되었다. 둘째 증례에서의 종괴는 좌심방의 2/3를 차지하고 있었으며, 좌심방의 확연한 확장과 심각한 이첨판 역류 (~5 m/s) 를 유발하고 있었으나, 환자의 심부전 등급은 ISACHC Ib 등급으로 심각한 울혈성 심부전은 나타나지 않았다. 종괴의 성상은 cardiac myxoma로 추정되었으나, 조직생검검사는 보호자의 거절로 인하여 수행되지 않았다. 환자에 대한 심장처방으로는 ramipril, clopidogrel 그리고 기관지 확장제는 aminophylline이 처방되었다. 본 증례의 두 환자들은 여전히 생존해 있으며, 정기적인 검진을 받고 있다.

• Journal of Chest Surgery
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• 제18권4호
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• pp.667-672
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• 1985

Primary cardiac tumors are uncommon in all age group. In contrast, tumors metastatic to the heart are significantly more common. On rare occasions, tumor may extend into the heart chamber via inferior vena cava from other parts of the body, such as liver, kidney, and uterus cava. With recent advancement in diagnostic imaging modalities and surgical techniques, cardiac tumors are now potentially curably form of heart disease. The most important factor in diagnosing the tumor is a high index of clinical suspicion. Six patients underwent surgical removal of intracardiac tumor during a 5-year period. The mean age of the 4 women and two men was 40 years [range 23 to 60]. All patients were operated on in the last five years of the studied period. All patients had symptoms varying in duration from 1 month to 4 years [average 13 months]. 2-Dimensional echocardiography contributed most to preoperative diagnosis, confirming presence of an intracardiac tumor in all examined patients. Of the six intracardiac tumor, 5 were myxomas [4 left atrial and 1 right ventricular] and one right atrial metastasis from hepatocellular carcinoma of the liver. In all cases, tumor masses were successfully excised. One patient expired after the operation on account of low cardiac out-put syndrome. Remained one patient among six, tumor mass extended into RA and RV with a stalk via IVC. On later follow-up study showed cold area on liver scan [hepatocellular ca.], so she was transferred to internal medicine, department for chemotherapy. Follow up results showed no signs of tumor recurrence in 4 myxoma cases.