Surgical outcome in 85 patients with primary cardiac tumors

Am J Surg. 2003 Dec;186(6):641-7; discussion 647. doi: 10.1016/j.amjsurg.2003.08.004.


Background: We present a large, single institution experience with adult cardiac tumors and address factors affecting outcome.

Methods: A retrospective review was made of all patients who underwent surgery for primary cardiac tumors from April 1975 through August 2002.

Results: Eighty-five patients (33 male and 52 female) with a mean age of 54 years were identified with follow-up available for 80 (94%) patients. There were 68 (80%) benign tumors and 17 (20%) malignant tumors. Three tumors recurred and were resected giving a total of 88 surgeries. All benign tumors were grossly resected and the extent of resection for malignant disease ranged from 14 (78%) gross resections and 3 (17%) debulkings to 1 (5%) biopsy. There were 4 (5%) early hospital deaths. Median survival was 9.6 months and 322 months for patients with malignant and benign diseases, respectively. Significant predictors of long-term mortality were malignant disease (P <0.0001) and New York Heart Association class (P <0.03).

Conclusions: Surgical resection provides excellent outcome in patients with benign cardiac tumors. Malignant tumors continue to pose a challenge with good local tumor control but limited survival owing to metastatic disease.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Heart Neoplasms / diagnosis
  • Heart Neoplasms / mortality
  • Heart Neoplasms / surgery*
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local
  • Postoperative Complications
  • Retrospective Studies
  • Survival Rate