P6307Two decades of contemporary surgery of primary cardiac tumors: the leipzig experience

Background: The decision to operate cardiac tumors is an issue of balancing surgical outcome and survival with quality of life (QOL). We report our single-center experience in managing primary cardiac tumors between1994 and 2014. Methods and results: 269 patients were subjected to our standardized operative protocols, preoperative preparations, postoperative follow-up and consents of participation. Demographic, preoperative/intraoperative/postoperative variables were collected with focus on long-term follow-up and survival. 72,000 cardiac procedures were performed within 20 years at our institution. 269 patients were diagnosed with primary cardiac tumors (0.37%), with a male:female-ratio 1:1.68, mean age: 57.4±19.5 years and BMI 25.49±6.5. The most presenting symptom were dyspnea (n=94), arrhythmias (n=53), embolic event (n=36), chest pain (n=29), and 33 patients were accidently discovered. Isolated tumor excision and concomitant ablation was carried out on 181 patients while the rest needed additional procedures such as CABG (n=27) or valve surgery (n=61). Focus on pathology and tumor location was done reporting the commonest pathology as myxoma (n=177) the secondly fibroelastoma (n=56). The frequent site was the left atrium (n=162). Our primary results showed incidence of bleeding in 9 patients (3.3%), arrhythmias in 76 patients (28.25%) and mortality in18.2% (n=49). 5 patients (1.8%) showed recurrence and 220 patients (81.8%) showed complaint free survival.