vtioВестник трансплантологии и искусственных органовRussian Journal of Transplantology and Artificial Organs1995-1191Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation10.15825/1995-1191-2017-4-48-53vtio-827Research ArticleРедкие заболеванияRare DiseasesКлинические и морфологические аспекты рецидивов миксом сердцаRecurrence of cardiac myxoma. Clinical and morphological aspectsИльинскийА. М.IljinskyI. M.

Москва.

Moscow.

iiljinsky@mail.ruИвановА. С.IvanovA. S.

Москва.

Moscow.

ЛуговскийМ. К.LugovskyM. K.

Москва.

Moscow.

МожейкоН. П.MozhejkoN. P.

Москва.

Moscow.

ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России; ФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Минздрава России (Сеченовский университет).РоссияV.I. Shumakov National Medical Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation; I.M. Sechenov First Moscow State Medical University of the Ministry of Healthcare of the Russian Federation.Russian FederationФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России.РоссияV.I. Shumakov National Medical Research Center of Transplantology and Artifi cial Organs of the Ministry of Healthcare of the Russian Federation.Russian Federation2017310120181944853Copyright © Ильинский А.М., Иванов А.С., Луговский М.К., Можейко Н.П., 20182018Ильинский А.М., Иванов А.С., Луговский М.К., Можейко Н.П.Iljinsky I.M., Ivanov A.S., Lugovsky M.K., Mozhejko N.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.transpl.ru/vtio/article/view/827Цель

Цель. Провести одноцентровое ретроспективное исследование рецидивов миксомы сердца в значительной группе пациентов.

Материалы и методы

Материалы и методы. В ФГБУ «НМИЦ трансплантологии и искусственных органов имени академика В.И. Шумакова» в период с 1992-го по 2016 год у 115 пациентов (44 мужчины, 71 женщина) со спорадическими миксомами сердца была выполнена хирургическая резекция опухоли.

Результаты

Результаты. Рецидив спорадической миксомы левого предсердия произошел у двух (1,7%) пациентов. У одного пациента возврат опухоли произошел из-за неадекватной резекции опухоли. Миксому удалили без иссечения места фиксации к межпредсердной перегородке. У второго пациента рецидив миксомы, возможно, был связан с сохранением небольшого фрагмента опухоли в другой части МПП, который не был диагностирован во время удаления первичной опухоли.

Заключение

Заключение. Рецидив спорадической миксомы левого предсердия встречается редко. Причины возврата опухоли могут быть различными, но обычно это происходит из-за нерадикальной резекции опухоли. Результаты нашего исследования показали, что удаление миксомы даже вместе с межпредсердной перегородкой полностью не гарантирует профилактику рецидива. Повторное возникновение спорадических миксом сердца, возможно, связано с не диагностированным во время операции дополнительным образованием незначительного размера. Нельзя также исключить возможность образования миксомы de novo. 

Aim

Aim: to conduct a one-center retrospective research of heart myxoma relapses in a large group of patients.

Materials and methods

Materials and methods. Since 1992 to 2016 115 surgical removal of sporadic cardiac myxoma was performed (44 male, 71 female).

Results

Results. Two (1.7%) patients had recurrence of sporadic myxoma of the left atrium. One patient had the tumor returned due to inadequate removal of the tumor. Myxoma was removed without excising the place of fi xation to the interatrial septum. The second patient possibly had recurrence of myxoma due to the conservation of a small tumor fragment in another part of the interatrial septum that was not diagnosed during the removal of the primary tumor.

Conclusion

Conclusion. Recurrence of sporadic myxoma of the left atrium is rare. The reasons for the recurrence may be different but usually it is due to non-radical removal of the tumor. The results of our research show that even removal of the myxoma together with the interatrial septum does not fully guarantee the prevention of recurrence. The recurrence of sporadic cardiac myxoma is possibly associated with minor formations that are not diagnosed during surgery. We cannot exclude the possibility of forming myxoma denovo also. 

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The authors declare that there are no conflicts of interest present.