Lahmidi I, Assoweh C Darar, Haddiya I, Bentata Y, Ouafi N El, Ismaili N
Department of Cardiology, Laboratory of Epidemiology, Clinical Research and Public Health, Medical School, University Mohammed the First, Oujda, Morocco.
Department of Nephrology, Laboratory of Epidemiology, Clinical Research and Public Health, Medical School, University Mohammed the First, Oujda, Morocco.
Ann Med Surg (Lond). 2022 Apr 10;77:103613. doi: 10.1016/j.amsu.2022.103613. eCollection 2022 May.
Right sided cardiac masses are rare. The purpose of this study is to review the clinical experience and pathological characteristics of right-sided cardiac masses and to provide a prognostic analysis in our hospital.
We retrospectively reviewed 19 consecutive cases of right heart masses diagnosed in our institution from 2016 to February 2020. All available clinicopathological features, imaging characteristics and disease outcomes were summarized and presented.
The subjects included 9 men and 10 women with a mean age of 48.5 years. The most frequent complaint was dyspnea. The most common site was the right atrium (42.1%) followed by the tricuspid valve (36.8%). Clinical diagnosis revealed vegetations in 8 patients (42.1%), thrombi in 7 patients (36.8%), myxoma in 1 patient, hydatid cyst in 1 patient and metastatic (secondary) masse was seen in 2 cases. In the 19 patients, 3 patients underwent surgery, 15 patients were managed with medical treatment, therapeutic abstention was indicated in one patient. 14 patients were all alive at the end of the follow-up period. In contrast, 5 patients were dead (26.3%).
In our series, the majority of right cardiac masses were benign, outnumbering the malignant ones, as described in the literature. The mortality rate was relatively high about 26.3%.
右侧心脏肿物较为罕见。本研究旨在回顾我院右侧心脏肿物的临床经验及病理特征，并进行预后分析。
我们回顾性分析了2016年至2020年2月在我院确诊的19例连续的右心肿物病例。总结并呈现了所有可用的临床病理特征、影像学特征及疾病转归。
研究对象包括9名男性和10名女性，平均年龄48.5岁。最常见的症状是呼吸困难。最常见的部位是右心房（42.1%），其次是三尖瓣（36.8%）。临床诊断显示8例（42.1%）为赘生物，7例（36.8%）为血栓，1例为黏液瘤，1例为包虫囊肿，2例为转移性（继发性）肿物。19例患者中，3例接受了手术，15例接受药物治疗，1例未进行治疗。随访结束时，14例患者存活。相比之下，5例患者死亡（26.3%）。
在我们的系列研究中，如文献所述，大多数右侧心脏肿物为良性，数量超过恶性肿物。死亡率相对较高，约为26.3%。
