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Cong Gao - One of the best experts on this subject based on the ideXlab platform.
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Research Article Brain Embolism Secondary to Cardiac Myxoma in Fifteen Chinese Patients
2016Co-Authors: Youming Long, Cong GaoAbstract:Copyright © 2014 Y. Long and C. Gao.This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Heart Myxoma-related embolisms commonly involve the central nervous system, but data are lacking in Chinese patients.Methods. 27 patients diagnosed with Myxoma were reviewed retrospectively. Results. Among 27 patients, fourteen (51.9%) patients were women. Fifteen (55.6%) patients had brain embolisms. Rarely, patients were misdiagnosed with central nervous system vasculitis (n = 2), moyamoya disease (n = 1), and neuromyelitis optica (n = 1). We found positive associations betwee
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brain embolism secondary to cardiac Myxoma in fifteen chinese patients
The Scientific World Journal, 2014Co-Authors: Youming Long, Cong GaoAbstract:Background. Heart Myxoma-related embolisms commonly involve the central nervous system, but data are lacking in Chinese patients. Methods. 27 patients diagnosed with Myxoma were reviewed retrospectively. Results. Among 27 patients, fourteen (51.9%) patients were women. Fifteen (55.6%) patients had brain embolisms. Rarely, patients were misdiagnosed with central nervous system vasculitis (n = 2), moyamoya disease (n = 1), and neuromyelitis optica (n = 1). We found positive associations between mRS (>3) and female gender (r = 0.873, P 10 × 109/L (r = 0.722, P = 0.002), tumour size (r = 0.866, P 0.05). Conclusions. Neurologic manifestations in Chinese patients with cardiac Myxoma-related stroke were complicated and multifarious. Female gender, infection, other severe complications, low SBP, tumour size, bilateral brain lesions, TACI, and high WBC counts could be associated with a poor prognosis.
Youming Long - One of the best experts on this subject based on the ideXlab platform.
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Research Article Brain Embolism Secondary to Cardiac Myxoma in Fifteen Chinese Patients
2016Co-Authors: Youming Long, Cong GaoAbstract:Copyright © 2014 Y. Long and C. Gao.This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Heart Myxoma-related embolisms commonly involve the central nervous system, but data are lacking in Chinese patients.Methods. 27 patients diagnosed with Myxoma were reviewed retrospectively. Results. Among 27 patients, fourteen (51.9%) patients were women. Fifteen (55.6%) patients had brain embolisms. Rarely, patients were misdiagnosed with central nervous system vasculitis (n = 2), moyamoya disease (n = 1), and neuromyelitis optica (n = 1). We found positive associations betwee
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brain embolism secondary to cardiac Myxoma in fifteen chinese patients
The Scientific World Journal, 2014Co-Authors: Youming Long, Cong GaoAbstract:Background. Heart Myxoma-related embolisms commonly involve the central nervous system, but data are lacking in Chinese patients. Methods. 27 patients diagnosed with Myxoma were reviewed retrospectively. Results. Among 27 patients, fourteen (51.9%) patients were women. Fifteen (55.6%) patients had brain embolisms. Rarely, patients were misdiagnosed with central nervous system vasculitis (n = 2), moyamoya disease (n = 1), and neuromyelitis optica (n = 1). We found positive associations between mRS (>3) and female gender (r = 0.873, P 10 × 109/L (r = 0.722, P = 0.002), tumour size (r = 0.866, P 0.05). Conclusions. Neurologic manifestations in Chinese patients with cardiac Myxoma-related stroke were complicated and multifarious. Female gender, infection, other severe complications, low SBP, tumour size, bilateral brain lesions, TACI, and high WBC counts could be associated with a poor prognosis.
Fábio Biscegli Jatene - One of the best experts on this subject based on the ideXlab platform.
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Original Article Mortality and Embolic Potential of Cardiac Tumors
2014Co-Authors: Ricardo Ribeiro Dias, Fábio Fern, Félix José, Alvarez Ramires, Charles Mady, Cícero Piva Albuquerque, Fábio Biscegli JateneAbstract:Background: Cardiac tumors are rare, mostly benign with high embolic potential. Objectives: To correlate the histological type of cardiac masses with their embolic potential, implantation site and long term follow up in patients undergoing surgery. Methods: Between January 1986 and December 2011, we retrospectively analyzed 185 consecutive patients who underwent excision of intracardiac mass (119 females, mean age 48 ± 20 years). In 145 patients, the left atrium was the origin site. 72 % were asymptomatic and prior embolization was often observed (19.8%). The diagnosis was established by echocardiography, magnetic resonance and histological examination. Results: Most tumors were located in the left side of the Heart. Myxoma was the most common (72.6%), followed by fibromas (6.9%), thrombi (6.4%) and sarcomas (6.4%). Ranging from 0.6cm to 15cm (mean 4.6 ± 2.5cm) 37 (19.8%) patients had prior embolization, stroke 10.2%, coronary 4.8%, peripheral 4.3 % 5.4 % of hospital death, with a predominance of malignant tumors (40 % p < 0.0001). The histological type was a predictor of mortality (rhabdomyomas and sarcomas p = 0.002) and embolic event (sarcoma, lipoma and fibroelastoma p = 0.006), but not recurrence. Tumor size, atrial fibrillation, cavity and valve impairment were not associated with the embolic event. During follow-up (mean 80±63 months), there were 2 deaths (1.1%) and two recurrences 1 and 11 years after the operation, to the same cavity
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Mortality and Embolic Potential of Cardiac Tumors
Sociedade Brasileira de Cardiologia (SBC), 2014Co-Authors: Ricardo Ribeiro Dias, Charles Mady, Cícero Piva Albuquerque, Fábio Fernandes, Félix José Alvarez Ramires, Fábio Biscegli JateneAbstract:Background: Cardiac tumors are rare, mostly benign with high embolic potential. Objectives: To correlate the histological type of cardiac masses with their embolic potential, implantation site and long term follow up in patients undergoing surgery. Methods: Between January 1986 and December 2011, we retrospectively analyzed 185 consecutive patients who underwent excision of intracardiac mass (119 females, mean age 48±20 years). In 145 patients, the left atrium was the origin site. 72% were asymptomatic and prior embolization was often observed (19.8%). The diagnosis was established by echocardiography, magnetic resonance and histological examination. Results: Most tumors were located in the left side of the Heart. Myxoma was the most common (72.6%), followed by fibromas (6.9%), thrombi (6.4%) and sarcomas (6.4%). Ranging from 0.6cm to 15cm (mean 4.6 ± 2.5cm) 37 (19.8%) patients had prior embolization, stroke 10.2%, coronary 4.8%, peripheral 4.3% 5.4% of hospital death, with a predominance of malignant tumors (40% p < 0.0001). The histological type was a predictor of mortality (rhabdomyomas and sarcomas p = 0.002) and embolic event (sarcoma, lipoma and fibroelastoma p = 0.006), but not recurrence. Tumor size, atrial fibrillation, cavity and valve impairment were not associated with the embolic event. During follow-up (mean 80±63 months), there were 2 deaths (1.1%) and two recurrences 1 and 11 years after the operation, to the same cavity. Conclusion: Most tumors were located in the left side of the Heart. The histological type was predictor of death and preoperative embolic event, while the implantation site carries no relation with mortality or to embolic event
Ricardo Ribeiro Dias - One of the best experts on this subject based on the ideXlab platform.
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Original Article Mortality and Embolic Potential of Cardiac Tumors
2014Co-Authors: Ricardo Ribeiro Dias, Fábio Fern, Félix José, Alvarez Ramires, Charles Mady, Cícero Piva Albuquerque, Fábio Biscegli JateneAbstract:Background: Cardiac tumors are rare, mostly benign with high embolic potential. Objectives: To correlate the histological type of cardiac masses with their embolic potential, implantation site and long term follow up in patients undergoing surgery. Methods: Between January 1986 and December 2011, we retrospectively analyzed 185 consecutive patients who underwent excision of intracardiac mass (119 females, mean age 48 ± 20 years). In 145 patients, the left atrium was the origin site. 72 % were asymptomatic and prior embolization was often observed (19.8%). The diagnosis was established by echocardiography, magnetic resonance and histological examination. Results: Most tumors were located in the left side of the Heart. Myxoma was the most common (72.6%), followed by fibromas (6.9%), thrombi (6.4%) and sarcomas (6.4%). Ranging from 0.6cm to 15cm (mean 4.6 ± 2.5cm) 37 (19.8%) patients had prior embolization, stroke 10.2%, coronary 4.8%, peripheral 4.3 % 5.4 % of hospital death, with a predominance of malignant tumors (40 % p < 0.0001). The histological type was a predictor of mortality (rhabdomyomas and sarcomas p = 0.002) and embolic event (sarcoma, lipoma and fibroelastoma p = 0.006), but not recurrence. Tumor size, atrial fibrillation, cavity and valve impairment were not associated with the embolic event. During follow-up (mean 80±63 months), there were 2 deaths (1.1%) and two recurrences 1 and 11 years after the operation, to the same cavity
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Mortality and Embolic Potential of Cardiac Tumors
Sociedade Brasileira de Cardiologia (SBC), 2014Co-Authors: Ricardo Ribeiro Dias, Charles Mady, Cícero Piva Albuquerque, Fábio Fernandes, Félix José Alvarez Ramires, Fábio Biscegli JateneAbstract:Background: Cardiac tumors are rare, mostly benign with high embolic potential. Objectives: To correlate the histological type of cardiac masses with their embolic potential, implantation site and long term follow up in patients undergoing surgery. Methods: Between January 1986 and December 2011, we retrospectively analyzed 185 consecutive patients who underwent excision of intracardiac mass (119 females, mean age 48±20 years). In 145 patients, the left atrium was the origin site. 72% were asymptomatic and prior embolization was often observed (19.8%). The diagnosis was established by echocardiography, magnetic resonance and histological examination. Results: Most tumors were located in the left side of the Heart. Myxoma was the most common (72.6%), followed by fibromas (6.9%), thrombi (6.4%) and sarcomas (6.4%). Ranging from 0.6cm to 15cm (mean 4.6 ± 2.5cm) 37 (19.8%) patients had prior embolization, stroke 10.2%, coronary 4.8%, peripheral 4.3% 5.4% of hospital death, with a predominance of malignant tumors (40% p < 0.0001). The histological type was a predictor of mortality (rhabdomyomas and sarcomas p = 0.002) and embolic event (sarcoma, lipoma and fibroelastoma p = 0.006), but not recurrence. Tumor size, atrial fibrillation, cavity and valve impairment were not associated with the embolic event. During follow-up (mean 80±63 months), there were 2 deaths (1.1%) and two recurrences 1 and 11 years after the operation, to the same cavity. Conclusion: Most tumors were located in the left side of the Heart. The histological type was predictor of death and preoperative embolic event, while the implantation site carries no relation with mortality or to embolic event
Cícero Piva Albuquerque - One of the best experts on this subject based on the ideXlab platform.
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Original Article Mortality and Embolic Potential of Cardiac Tumors
2014Co-Authors: Ricardo Ribeiro Dias, Fábio Fern, Félix José, Alvarez Ramires, Charles Mady, Cícero Piva Albuquerque, Fábio Biscegli JateneAbstract:Background: Cardiac tumors are rare, mostly benign with high embolic potential. Objectives: To correlate the histological type of cardiac masses with their embolic potential, implantation site and long term follow up in patients undergoing surgery. Methods: Between January 1986 and December 2011, we retrospectively analyzed 185 consecutive patients who underwent excision of intracardiac mass (119 females, mean age 48 ± 20 years). In 145 patients, the left atrium was the origin site. 72 % were asymptomatic and prior embolization was often observed (19.8%). The diagnosis was established by echocardiography, magnetic resonance and histological examination. Results: Most tumors were located in the left side of the Heart. Myxoma was the most common (72.6%), followed by fibromas (6.9%), thrombi (6.4%) and sarcomas (6.4%). Ranging from 0.6cm to 15cm (mean 4.6 ± 2.5cm) 37 (19.8%) patients had prior embolization, stroke 10.2%, coronary 4.8%, peripheral 4.3 % 5.4 % of hospital death, with a predominance of malignant tumors (40 % p < 0.0001). The histological type was a predictor of mortality (rhabdomyomas and sarcomas p = 0.002) and embolic event (sarcoma, lipoma and fibroelastoma p = 0.006), but not recurrence. Tumor size, atrial fibrillation, cavity and valve impairment were not associated with the embolic event. During follow-up (mean 80±63 months), there were 2 deaths (1.1%) and two recurrences 1 and 11 years after the operation, to the same cavity
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Mortality and Embolic Potential of Cardiac Tumors
Sociedade Brasileira de Cardiologia (SBC), 2014Co-Authors: Ricardo Ribeiro Dias, Charles Mady, Cícero Piva Albuquerque, Fábio Fernandes, Félix José Alvarez Ramires, Fábio Biscegli JateneAbstract:Background: Cardiac tumors are rare, mostly benign with high embolic potential. Objectives: To correlate the histological type of cardiac masses with their embolic potential, implantation site and long term follow up in patients undergoing surgery. Methods: Between January 1986 and December 2011, we retrospectively analyzed 185 consecutive patients who underwent excision of intracardiac mass (119 females, mean age 48±20 years). In 145 patients, the left atrium was the origin site. 72% were asymptomatic and prior embolization was often observed (19.8%). The diagnosis was established by echocardiography, magnetic resonance and histological examination. Results: Most tumors were located in the left side of the Heart. Myxoma was the most common (72.6%), followed by fibromas (6.9%), thrombi (6.4%) and sarcomas (6.4%). Ranging from 0.6cm to 15cm (mean 4.6 ± 2.5cm) 37 (19.8%) patients had prior embolization, stroke 10.2%, coronary 4.8%, peripheral 4.3% 5.4% of hospital death, with a predominance of malignant tumors (40% p < 0.0001). The histological type was a predictor of mortality (rhabdomyomas and sarcomas p = 0.002) and embolic event (sarcoma, lipoma and fibroelastoma p = 0.006), but not recurrence. Tumor size, atrial fibrillation, cavity and valve impairment were not associated with the embolic event. During follow-up (mean 80±63 months), there were 2 deaths (1.1%) and two recurrences 1 and 11 years after the operation, to the same cavity. Conclusion: Most tumors were located in the left side of the Heart. The histological type was predictor of death and preoperative embolic event, while the implantation site carries no relation with mortality or to embolic event
