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At least 19 recordsLinked to original sources
PubMed1977

[Electron microscopic investigations on early stages of experimental heart tumours in rats (author's transl)].

The views on the histogenesis of experimental heart tumours in rats are controversal. Up to now electron microscopic investigations on early tumour stages are lacking. In this study ultrastructural findings of 4 early stages of heart neoplasms in the left ventricle of BD-IX rats are reported. Material and methods. BD-IX rats received repeated intravenous injections of methylnitrosourea in a dosage of 20 mg/kg body weight. After averagely 9 months the animals were killed by ether anesthesia. Sections of the heart were fixed in solution according to Karlsson and Schultz (1965). In order to discover early stages of tumours light microscopic examinations were carried out on heart sections. Afterwards the small tumour-containing tissue samples were postfixed in 1% OsO4, embedded in durcupan, and double contrasted with uranyl acetate and lead citrate. Results. Light microscopy (semithin sections): Beneath an endothelium-like cell layer an area of parallel to each other arranged spindle-shaped tumour cells with usually hyperchromatic nuclei was found. Some cells were larger and contained pale nuclei. Electron microscopy: The spindle-shaped neoplastic cells with irregular nuclei are loosely arranged. Most of the cells were surrounded by a basement membrane. In the extracellular space abundant thin cell processes and collagen fibers were demonstrable. The tumours contained characteristic bundles of cell processes as well as single processes which enveloped a virtual point of the space. Some large and widely undifferentiated tumour cells had stump-like thick processes. In the area of trabecular muscle neoplastic cells of an apparently mesenchymal origin were present. The ultrastructural findings are discussed regarding the histogenesis of the small heart tumours in the rats. They probably developed from neoplastic Schwann cells but an additional mesenchymal component seems to be engaged. Further studies are necessary to clarify the significance of both components and their relations in the experimental heart tumours.

Animals↗
PubMed1975

[Cardiac myxoma: anatomic and clinical description of four cases (author's transl)].

Four cases of cardiac myxoma diagnosed among 68 solid intracavitary cardiac formations are described. The myxomas (all unexpected autopsy findings of the left atrium) are illustrated by their clinica, macroscopic, histologic and histochemic characteristics. The differences between heart myxomas and thrombi are briefly outline and discussed.

Adult↗
PubMed1977

Atrial fibrillation in children.

Atrial fibrillation is rare in children. Previous reports associated it with severe rheumatic heart disease and a poor prognosis. This review is of the unique experience of 35 cases of atrial fibrillation in children in the past 22 years; 23 patients were boys. The age of onset ranged from 1 day to 19 years (average, 8 years). Associated cardiac conditions were severe rheumatic mitral regurgitation (3 cases), cardiomyopathy (5), atrial tumors (2), infective endocarditis (1), paroxysmal atrial tachycardia of infants (4), idiopathic paroxysmal atrial fibrillation (1), Marfan's syndrome with mitral regurgitation (1), endocardial fibroelastosis (1), and structural congenital heart malformations (17). Surgical correction of congenital heart lesions was directly related to the development of atrial fibrillation in 14. Varying arrhythmias of the sick-sinus syndrome were observed in five children. The atrial fibrillation was paroxysmal or transient in 21 patients and persistent in 14. Treatment depended on the underlying condition. Digoxin was used in all cases and cardioversion attempted in ten; no patient was given anticoagulants. Three children had cerebral emboli, with residual defects. Eighteen patients are known to be alive, 13 are dead, and 4 are lost to follow-up. Atrial fibrillation in childhood is an indication for complete investigation of the patient and for the institution of treatment appropriate to the underlying disease.

Adolescent↗
PubMed1978

Effusive-constrictive hemodynamic pattern due to neoplastic involvement of the pericardium.

Eight patients with metastatic malignancy of the pericardium who demonstrated the hemodynamics of subacute effusive-constrictive pericarditis were studied. All patients had clinical evidence of cardiac tamponade due to malignant pericardial effusion and were referred for therapeutic pericardiocentesis. In six in whom pericardiocentesis was successfully performed, right atrial pressure remained elevated after pericardiocentesis and return of the intrapericardial pressure to zero; in these patients, hemodynamic data were initially compatible with tamponade but suggested constriction after removal of the pericardial fluid. In the remaining two patients, echocardiography revealed pericardial fluid, but attempted pericardiocentesis was unsuccessful. In these two patients, the hemodynamic data suggested pericardial constriction; subsequent pathologic examination revealed neoplastic involvement of the visceral pericardium. Thus, subacute effusive-constrictive pericarditis, previously recognized as a complication of tuberculosis or mediastinal radiation, may also be due to metastatic malignancy. The syndrome can readily be demonstrated when right heart catheterization is performed in conjunction with pericardiocentesis.

Cardiac Tamponade↗