Document Detail

Cardiac operations in the presence of meningioma.
MedLine Citation:
PMID:  19766819     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: We investigated the effect of concomitant intracranial meningiomas on perioperative and postoperative complications after cardiac operations. Also studied was the intraoperative and perioperative management and long-term outcome of such patients. METHODS: We retrospectively evaluated 16 cardiac surgical patients with intracranial meningiomas between January 1996 and July 2007. Neurologic outcome, incidence of transient neurologic deficits, and long-term follow-up focusing on freedom from any cardiac or neurosurgical intervention were assessed. RESULTS: Five men and 11 women with a concomitant diagnosis of intracranial meningioma underwent cardiac operations using extracorporeal circulation. One patient received additional edema prophylaxis by intravenous dexamethasone. All patients were discharged home in good physical condition. Data on long-term survival were available on 14 patients, with 12 alive. Postoperatively, 2 patients died from myocardial infarction at 26.8 months and 2 from metastatic colon cancer at 57.9 months. Perioperative neurologic disorders were observed in 2 patients, comprising one stroke after intervention for aortic dissection and one thromboembolic event 2 weeks after biologic mitral valve replacement due to anticoagulation disorders. No meningioma-related adverse event was observed. CONCLUSIONS: The presence of intracranial meningioma does not appear to be a risk factor for patients undergoing cardiac operations. No meningioma-related neurologic sequelae were documented postoperatively. Neurosurgical consultation should be obtained in all patients preoperatively.
Ivan Aleksic; Sebastian-Patrick Sommer; Eva Kottenberg-Assenmacher; Volkmar Lange; Christoph Schimmer; Mehmet Oezkur; Rainer G Leyh; Armin Gorski
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  88     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-21     Completed Date:  2009-10-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1264-8     Citation Subset:  AIM; IM    
Department of Thoracic and Cardiovascular Surgery, Julius-Maximilians-University Würzburg, Würzburg, Germany.
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MeSH Terms
Aged, 80 and over
Cardiac Surgical Procedures / methods*
Follow-Up Studies
Germany / epidemiology
Heart Diseases / complications,  diagnosis,  surgery*
Hypothermia, Induced / methods
Magnetic Resonance Imaging
Meningeal Neoplasms / complications*,  diagnosis,  mortality
Meningioma / complications*,  diagnosis,  mortality
Middle Aged
Retrospective Studies
Risk Factors
Survival Rate / trends
Tomography, X-Ray Computed
Treatment Outcome

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