Directly to content
  1. Publishing |
  2. Search |
  3. Browse |
  4. Recent items rss |
  5. Open Access |
  6. Jur. Issues |
  7. DeutschClear Cookie - decide language by browser settings

Resection of thoracic malignancies infiltrating cardiac structures with use of cardiopulmonary bypass

Arif, Rawa ; Eichhorn, Florian ; Kallenbach, Klaus ; Seppelt, Philipp ; Ruhparwar, Arjang ; Dienemann, Hendrik ; Karck, Matthias

In: Journal of Cardiothoracic Surgery, 10 (2015), Nr. 87. pp. 1-8. ISSN 1749-8090

[img]
Preview
PDF, English
Download (2MB) | Lizenz: Creative Commons LizenzvertragResection of thoracic malignancies infiltrating cardiac structures with use of cardiopulmonary bypass by Arif, Rawa ; Eichhorn, Florian ; Kallenbach, Klaus ; Seppelt, Philipp ; Ruhparwar, Arjang ; Dienemann, Hendrik ; Karck, Matthias underlies the terms of Creative Commons Attribution 3.0 Germany

Citation of documents: Please do not cite the URL that is displayed in your browser location input, instead use the DOI, URN or the persistent URL below, as we can guarantee their long-time accessibility.

Abstract

Background: Only few reports exist on malignant thoracic neoplasms that require cardiopulmonary bypass during resection. We aimed to investigate the early and late clinical outcome of these patients. Methods: Patients with thoracic malignancies that underwent surgery between 2002 and 2014 were analyzed. All patients had cardiopulomonary bypass support during resection. Clinical and perioperative data was retrospectively reviewed for outcome and overall survival. Results: Fifteen patients (12 female, mean age of 55 ± 15 years, range 24 to 80 years) were identified. Eleven (8 female) were diagnosed with primary thoracic malignomas and four with metastases. Three patients died early postoperatively. Patients diagnosed with sarcoma had a significantly worse outcome than non-sarcoma patients (83.3 ± 15.2 % after 1 year, 31.3 ± 24.5 % after 5 years vs. 83.3 ± 15.2 % after 1 year, 0 ± 0 % after 5 years, p = 0.005). Conclusions: Malignancies with extension into cardiac structures or infiltration of great vessels can be resected with cardiopulmonary bypass support and tolerable risk. Carefully selected patients can undergo advanced operative procedures with an acceptable 1-year-survival, but only few patients achieved good long-term outcome.

Item Type: Article
Journal or Publication Title: Journal of Cardiothoracic Surgery
Volume: 10
Number: 87
Publisher: BioMed Central
Place of Publication: London
Date Deposited: 19 Jan 2016 09:12
Date: 2015
ISSN: 1749-8090
Page Range: pp. 1-8
Faculties / Institutes: Medizinische Fakultät Heidelberg > Chirurgische Universitätsklinik
Medizinische Fakultät Heidelberg > Thoraxklinik Heidelberg gGmbH
Subjects: 610 Medical sciences Medicine
About | FAQ | Contact | Imprint |
OA-LogoDINI certificate 2013Logo der Open-Archives-Initiative