TITLE:
Primary Cardiac Tumors Operated on in Côte d’Ivoire: They Are Almost All Myxomas
AUTHORS:
Yoboua Aimé Kirioua-Kamenan, Jean Calaire Degré, Koutoua Eric Katché Katché, Kouassi Antonin Souaga, Kwadjau Anderson Amani, Assoumou Lucien Asseke, Ibrahim Junior Yeo, Landry Kohou-Kone, Kouassi Flavien Kendja
KEYWORDS:
Cardiac Myxomas, Primary Cardiac Tumors, Tumor Removal
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.13 No.5,
May
26,
2023
ABSTRACT: Objective: Through this surgical series, we present the epidemiological and anatomical-clinical
aspects and the surgical results concerning patients operated on for a primary cardiac
tumor at the Abidjan Heart Institute. Materials
and Method: This is a retrospective descriptive
study covering the period of January 1982 to December 2022, based on the medical
records of patients operated on for a primary cardiac tumor at the Abidjan Heart
Institute. Results: Twenty-seven (27) patients underwent surgery for a primary cardiac tumor,
including 14 women and 13 men with a mean age of 41.5 years (range 19 - 76 years). The main circumstances of discovery were exertional
dyspnea, palpitation and syncope or pseudo-syncope. The main site was the septal
wall of the left atrium. The diagnosis of myxoma was confirmed by pathological examination
of the surgical specimen in 96.3% (n = 24) of the
patients and it was a malignant large cell immunoblastic lymphoma of the myocardium
in 3.7% (n = 1) of the patients. The mean
largest diameter was 46.1 mm. The
postoperative course was marked by an ischaemic stroke (n = 1); recurrence of a left atrial myxoma 5 years after
the first tumor removal (n = 1). Two cases of death were noted,
one due to the evolution of immunoblastic large cell lymphoma and the other due
to an extracorporeal circulation accident. Conclusion: Almost all primary cardiac tumors operated on in Abidjan are myxomas. The
circumstances of the discovery of these cardiac
tumors are multiple and varied but dominated by exertional dyspnea, palpitation
and syncope. Whatever their histological type, primary cardiac tumors are serious
affections, in view of the haemodynamic and rhythmic disorders they cause.