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• W63255246 abstract "CC ARDIAC TUMORS are relatively infrequent lesions which have assumed clinical importance as successful methods for inu'acardiac surgery have been developed Recent reports indicate the increasing frequency of accurate preoperative diagnosis and the successful removal of such minors ] 36 The first recorded primary cardiac tumor, described by Columbus'' in 1559, arose within the left ventricular cavity. Since that time approximately 550 priniarv tumors of the heart have been reported. Over 300 have been mvxomas. This tumor typically arises from the atrial septum in the region of the fossa oxalis It is three time , more frequent in the left atrium than in the right .' s In twenty-one instances the diagnosis has been made antemortem and in thirty cases Irtyxomas have been discovered during surgical exploration for mitral or tricuspid stcnosis Intracardiac tumors may occur at any age The majority have developed in patients between the ages of thirty and sixty veers. The incidence has been greater in women The usual clinical manifestations arise front obstruction of the mitral or tricuspid valve In recent years angiocardiography has resolved many of the difficulties inherent in establishing an accurate preoperative diagnosis . 11 Until the advent of technics for stasis cardiotouiy and temporary cardiopulmonary bypass whielt permit the excision of such tumors under direct vision, attempts at removal of intracardiac tumors were crude and inexact .2 Because an accurate preoperative diagnosis of a primary cardiac tumor or thrombus can he made if certain clinical and rocnlgenographic characteristics arc kept in mind our experience with the following three cases is presented to elucidate the diagnostic features and characteristics of such lesions In the first patient (Case 1), a right ventricular myxoma was suspected on clinical examination and confirmed by angiocardiography This tumor arose within the right atrium and had prolapsed through the tricuspid valve into the right ventricular cavih In the Second case a large left atrial thrombus, not suspected prior to death, was revealed on postmortem examination in an elderly woman with emboli in the pulmonary and mesenteric arteries and subsequent extensive infarction In the third case, postmortem examination revealed a large mural thrombus cornpletely filling the distal two-thirds of the left ventricular cavity with multiple moral thrombi within the cardiac chambers Chronic myocarditis was responsible for the thrombi and death resulted from low cardiac output and multiple pulmonary and systemic emboli. Peripheral emboli and a low cardiac output were responsible for gangrene of the right foot, right fourth finger and third left toe" @default.
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• W63255246 date "1961-02-01" @default.
• W63255246 modified "2023-09-24" @default.
• W63255246 title "Intracardiac myxomas and thrombi" @default.
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• W63255246 doi "https://doi.org/10.1016/0002-9149(61)90271-5" @default.
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