Primary XXXX --clinical experiences and late results in 48 @entity1 .

@entity1 @entity662 @entity712 @entity998 @entity5 @entity2396 @entity1416 @entity4617 @entity4794 @entity583 @entity943
Between 1971 and 1987 48 @entity1 (35 female and 13 male) underwent operations at the Department of Cardiovascular Surgery, Justus-Liebig-University Giessen, for primary @entity4617 . The age of the @entity1 ranged from 21 to 71 years. Clinical symptoms were @entity712 , cardiac murmurs and findings similar to @entity4794 , @entity662 , @entity943 , @entity1416 , @entity583 and @entity2396 . 39 of the @entity5 were benign and 9 were malignant. Diagnosis was confirmed by echocardiography and/or cineangiocardiography. The left atrium was most commonly involved, followed by the right atrium. Surgery was performed in all cases using cardiopulmonary bypass. @entity5 were totally removed, including attachment to the atrial septum or the free wall. In one case the @entity5 resection was carried out by autotransplantation of the heart. During the perioperative period we lost one of the 39 @entity1 with @entity5 due to @entity998 . Observing a mean follow up period of 48 months, no recurrence of @entity5 was noted and all @entity1 are doing well now. The @entity5 could not be removed completely, and in 4 cases only a reduction of the @entity5 mass was possible. Three of the 9 @entity1 died during the postoperative period. Only one @entity1 survived longer than 48 months. Whereas surgical therapy of malignant @entity4617 is still a matter of discussion based upon these discouraging results, benign or semimalignant @entity4617 have a very favourable prognosis when the surgical intervention can be performed prior to the occurrence of severe complications, such as @entity712 and @entity1416 .(ABSTRACT TRUNCATED AT 250 WORDS)
