Espainia iparraldeko ospitale orokor batean bihotz-masa eta kisteengatik operatutako pazienteen seriea: 20 urteko esperientzia
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https://doi.org/10.23938/ASSN.1060Gako-hitzak:
Kardiologia, Kirurgia Kardiakoa, Gaixotasun Kardiobaskularrak, Bihotzeko Neoplasiak, MixomaLaburpena
Aurrekariak. Bihotz-masak eta kisteak entitate ezagunak dira, nahiz eta haien prebalentzia txikia eta sintoma ez-espezifikoak diagnostikoa zailtzen duten. Ikerketa honen helburua gure inguruneko kaltetutako pazienteen egoera ezaugarritzea zen, etorkizuneko diagnostikoak bideratzeko.
Metodoak. Nafarroako Unibertsitate Klinikako (Iruñea, Espainia) Kardiologia eta Bihotz Kirurgia Sailean 2002 eta 2022 artean bihotzeko tumore eta kisteengatik ebakuntza egin zuten 13 paziente aukeratu ziren. Aldagai soziodemografikoak, klinikoak, histologikoak eta kirurgikoak deskribatu ziren.
Emaitzak. Lagineko pazienteen % 76,92 emakumeak ziren. Batez besteko adina 63,08 ± 15,17 urtekoa zen. Bihotz-masa mota ohikoena mixoma izan zen (%69,23). Pazienteen % 92,31k arrisku kardiobaskularreko faktore bat izan zuen gutxienez, eta GMI ≥ 25,00 kg/m2 eta hipertentsio arteriala izan ziren ohikoenak (% 61,54 eta % 53,85, hurrenez hurren). Sintomarik ohikoena disnea izan zen (%53,85), nahiz eta gaixoen %30,77 asintomatikoak izan. %46,15 kasualitatezko aurkikuntzak izan ziren. Diagnostikorako gehien erabilitako irudi-teknika Doppler transtorazikoaren ekokardiografia izan zen (%69,23). Kirurgia aurretik eta ondoren batez besteko diametroen arteko adostasuna oso handia izan zen (ICC = 0,807, % 95eko CI: 0,450 - 0,943).
Ondorioak. Pazienteen egoerak deskribatu ziren, literaturan gutxi deskribatzen den informazioa emanez, hala nola entitate horietan gehien izaten diren arrisku kardiobaskularren faktoreak. Bihotz-leiomiosarkoma kasu bat eta biriketako enborreko intimal sarkoma kasu bat deskribatu ziren, bi tumore arraroak eta gutxi deskribatzen direnak.
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