Bakoulev Scientific Center for Cardiovascular Surgery Moskva, Rublevskoe shosse 135, Moscow, Russia, 121552.
Pediatr Cardiol. 2022 Feb;43(2):251-266. doi: 10.1007/s00246-022-02814-2. Epub 2022 Feb 3.
This systematic review sought to investigate the current evidence regarding surgical management of primary cardiac tumors in children. Twenty-four studies were deemed eligible, reporting on 713 pediatric patients. Cumulative 30-day mortality rate was 5.5% and 7.5% after surgery. It was revealed a statistically lower mortality rate in the group of patients below 1 year of age, justifying a more aggressive surgical approach for primary cardiac tumors, except for rhabdomyoma that can regress spontaneously.
本系统评价旨在调查目前关于儿童原发性心脏肿瘤的外科治疗的证据。有 24 项研究符合条件,报告了 713 例儿科患者。术后 30 天的累积死亡率为 5.5%和 7.5%。结果表明,1 岁以下患者的死亡率明显较低,这证明对于原发性心脏肿瘤应采取更积极的手术方法,除了横纹肌瘤可自发消退外。