dc.contributor.author |
Manolache, G. |
|
dc.contributor.author |
Moscalu, V. |
|
dc.contributor.author |
Barnaciuc, S. |
|
dc.contributor.author |
Morozan, V. |
|
dc.contributor.author |
Guzgan, I. |
|
dc.contributor.author |
Şerban, P. |
|
dc.contributor.author |
Batrînac, A. |
|
dc.date.accessioned |
2020-12-02T11:23:52Z |
|
dc.date.available |
2020-12-02T11:23:52Z |
|
dc.date.issued |
2015 |
|
dc.identifier.citation |
MANOLACHE, G., MOSCALU, V., BARNACIUC, S., et al. Diagnosticul şi tratamentul chirurgical al tumorilor cardiace = The diagnosis and surgical treatment of cardiac tumors. In: Arta Medica. 2015, nr. 3(56), pp. 81-82. ISSN 1810-1852. |
en_US |
dc.identifier.issn |
1810-1852 |
|
dc.identifier.uri |
http://repository.usmf.md/handle/20.500.12710/13542 |
|
dc.description |
Departamentul Cardiochirurgie, Spitalul Clinic Republican, Chişinău, Republica Moldova, Al XII-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” din Republica Moldova cu participare internațională 23-25 septembrie 2015 |
en_US |
dc.description.abstract |
Introducere: Cu toate că tumorile cardiace se întâlnesc destul de rar, diagnosticul precoce stabilit ne oferă posibilitatea de a
efectua un tratament chirurgical radical şi eficace.
Material şi metode: Au fost analizate protocoalele intervenţiilor chirurgicale la 86 de pacienţi cu tumori cardiace, care s-au
tratat pe parcursul anilor 1983-2014 (primele 6 luni), vârsta bolnavilor a variat între 15-73 ani (media 53,7 ani). La 79 (91,8%)
pacienţi tumorile au fost benigne şi la 7 (8,2%) – maligne.
Rezultate: Diagnoza preoperatorie a fost stabilită analizând evoluţia simptomelor clinice şi rezultatele investigaţiilor
instrumentale (ecocardiografia, CT, RMN). Morfologia tumorilor se prezintă în felul următor: mixoame – 71 de cazuri,
rabdomioame – 2 cazuri, leiomioame – 2 cazuri, hemangiom – 1 caz, fibrom – 1 caz, mezoepitelioame – 2 cazuri, diferite
sarcoame – 7 cazuri. Recidivă a mixomului atrial stâng s-a întâlnit la 2 pacienţi (2,8%), care au fost cu succes reoperaţi.
Mortalitatea postoperatorie a constituit 8,2% (7 pacienţi), fapt care demonstrează eficacitatea tratamentului chirurgical.
Concluzii: Tumorile cardiace primare trebuie înlăturate chirurgical. Vârsta pacienţilor şi severitatea insuficienţei cardiace nu
poate servi ca contraindicaţie către operaţie. Tumorile cardiace maligne au un prognostic nefavorabil. |
en_US |
dc.description.abstract |
Introduction: Although cases of cardiac tumors are very rare, the early determined diagnosis gives us the possibility to perform
an efficient and radical surgical treatment.
Material and methods: The surgical records of 86 patients with cardiac tumors who were operated during 1983-2014 (first 6
months) were analyzed; patients age varies between 15-73 years (mean 53.7 years). In 79 (91.8%) patients the tumors were
benign and in 7 (8.2%) cases – malignant.Results: Analyzing the evolution of clinical symptoms, the instrumental investigations results (echocardiography, CT, RMN) the
preoperative diagnosis was determined. The morphology of the tumors were presented as follows: myxoma – 71 cases,
rhabdomyoma – 2 cases, leiomyoma – 2 cases, hemangioma – 1 case, fibroids – 1 case, myoepithelioma – 2 cases, various
sarcomas – 7 cases. Left atrial myxoma recurrence was determined in 2 patients (2.8%) who were successfully supposed to the
repeated intervention. Postoperative mortality was 8.2 % (7 patients), that demonstrates the effectiveness of surgical treatment.
Conclusions: The primary cardiac tumors should be removed in a surgical way. The patients' age and the severity of heart
failure could not serve as a contraindication for surgery. Malignant cardiac tumors have a poor prognostic. |
|
dc.publisher |
Asociaţia chirurgilor “Nicolae Anestiadi” din Republica Moldova |
en_US |
dc.title |
Diagnosticul şi tratamentul chirurgical al tumorilor cardiace |
en_US |
dc.title.alternative |
The diagnosis and surgical treatment of cardiac tumors |
en_US |
dc.type |
Article |
en_US |