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Kardiyak Miksomaların Tedavisinde Klinik ve Cerrahi Deneyimimiz: Erken ve Orta Dönem Sonuçlar
2013
Journal:  
Journal of Academic Research in Medicine
Author:  
Abstract:

Amaç: Kardiyak miksoma en sık görülen iyi huylu kalp tümörleridir. Bu çalışmada, eksizyon cerrahisi yapılan intrakardiyak miksomalı hastaların erken ve orta dönem sonuçları değerlendirilmiştir. Yöntemler: Miksoma nedeni ile 1988 ve 2012 yılları arasında opere edilen, ortalama yaşı 56 olan (yaş aralığı 33-78) 31 hasta değerlendirildi. Hastaların 18’i kadın, 13’ü erkek idi. On iki hastada (%38,7) konjestif kalp yetmezliği ve 19 hastada (%61,3) mitral obstruksiyon semptomları mevcuttu. Operasyon öncesi tanı transtorasik 2 boyutlu ekokardiyografi ile kondu. On dokuz hastada sağ atrial mixoma,12 hastada sol atriyal miksoma mevcuttu. Cerrahi tedavide kardiyopulmoner bypass altında geniş eksizyon uygulandı. Bulgular: Serebral embolisi olan bir hasta postoperatif erken dönemde öldü. Ortalama takip süresi 9,8±1,4 yıl idi. Otuz hasta NYHA sınıf I olarak düzenli olarak takip edilmiş ve hastalarda nüks görülmemiştir. Sonuç: Miksomalı tüm hastalarda hemen cerrahi tedavi indikasyonu vardır. Atrial miksomanın cerrahi eksizyonunun erken ve orta dönem sonuçları mükemmeldir. (JAREM 2013; 3: 84-7)

Keywords:

Our Clinical and Surgery Experience in the Treatment of Heart Miksomas: Early and Middle Ages Results
2013
Author:  
Abstract:

Target: Heart mixoma is the most common beneficial heart tumors. In this study, the early and middle-term results of intrakardial mixoma patients performed by excision surgery were evaluated. Methods: 31 patients with an average age of 56 (age range of 33-78) who were operated between 1988 and 2012 with the cause of Miksoma were assessed. 18 of the patients were female and 13 men. Twelve patients (38.7%) had congestive heart failure and 19 patients (61.3%) had mitral obstruction symptoms. Pre-operative diagnosis was placed with transtoral 2-dimensional ecocardiography. In 19 patients, the right atrial mixoma was present, and in 12 patients, the left atrial mixoma was present. A large excision was applied under the cardiopulmonary bypass in the surgical treatment. A patient with cerebral embolism died in the early postoperative period. The average tracking time was 9.8±1.4 years. Thirty patients were regularly monitored as NYHA class I and no nurses were observed in patients. Result: All patients with Miksoma have an immediate indication of surgical treatment. The early and mid-term results of the surgical exhaustion of the atrial mixoma are perfect. (JAREM 2013; 3: 84-7)

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Journal of Academic Research in Medicine

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Journal of Academic Research in Medicine