Contemporary surgical management of cardiac paragangliomas.
| Autor: | Ramlawi B; Methodist DeBakey Heart and Vascular Center, Cardiovascular Surgery, Houston, Texas 77030, USA., David EA, Kim MP, Garcia-Morales LJ, Blackmon SH, Rice DC, Vaporciyan AA, Reardon MJ |
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| Jazyk: | angličtina |
| Zdroj: | The Annals of thoracic surgery [Ann Thorac Surg] 2012 Jun; Vol. 93 (6), pp. 1972-6. Date of Electronic Publication: 2012 Apr 25. |
| DOI: | 10.1016/j.athoracsur.2012.02.040 |
| Abstrakt: | Background: Cardiac paragangliomas are an extremely rare subset of chromaffin cell tumors that develop from neural crest cells. Methods: Between March 2004 and October 2010, 7 male patients from our two institutions who underwent surgical resection of cardiac paraganglioma were retrospectively reviewed. Results: In 5 patients, paragangliomas originated from the roof of the left atrium, and in 2 patients, they originated from the aortic root. Hospital mortality was 14%. Conclusions: Complete surgical resection remains the mainstay of therapy and can be curative, but carries a significant risk of intraoperative bleeding and usually requires cardiopulmonary bypass and often complex resection techniques, including cardiac autotransplantation. (Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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