Title: Primary cardiac tumors clinical and echocardiographic study In Basra (south of Iraq)

Biography:

Current position:  Head, Dept. of Medicine Medical College of Basrah University from Sept. 2003 Consultant physician in Aljumhuri hospital in Basrah, Assistant Prof. Medicine, Medical College of Basrah University Supervisor on Arabic Iraqi board student in Basrah center Editorial in Basrah medical Journals

Abstract

Primary cardiac tumors are rare disease and most of them are benign in nature, although these lesions are benign histopathologically, and they are potentially fatal because they  may cause sudden hemodynamic obstruction and death of patient.

The aim of this study: to report these rare cases to study their clinical, echocardiographic feature and their prognosis.

Patients and methods: twenty pts with primary cardiac tumors were studied from period of February 1994 to march 2018 clinically and by echocardiography.

16 pts  were female, four pts were male. 16 pts were between third and sixth decade of life four pts were teenage. Myxoma was the commonest cardiac tumors. it is more common in the left atrium(14 pts) than right atrium (2 pts). malignant pericardial mesothelioma was reported in two pts, and left ventricular angiosarcoma in one pt. histopathologically not  diagonsed Rv tumour in one pt.

Non of pt referred for echocardiographic study with suspicion of cardiac tumors in mind because of the non specific and different mode of presentation. Shortness of breath was the commonest presenting symptoms were occurred in10 (50%)pts follow by cerebral embolization and stroke 5(25%)pts. One pt present with picture mimic acute pericarditis.  One pt present with right sided heart failure. One Pt with impaired renal function.one refer because of fatigue.

Cardiac tumors had different presentations and without complete surgical excision, these tumors whether begnin or malignant histopathologically, they were carried high morbidity and high mortality. Transthorasic  echocardiography is the most sensitive diagnostic tool.