TITLE:
Intracardiac Masses: Epidemiological, Clinical, Therapeutic and Evolutionary Aspects in the Cardiology Department of Yalgado Ouédraogo Teaching Hospital
AUTHORS:
Koudougou Jonas Kologo, Anna Thiam, Koulibi Julien Nabi, Yibar Kambire, Zoubadar Martin Some, Georges Rosario Christian Millogo, Sékou Traore, Lydie Reine Kologo, Traoré Bernard, Wendlassida Martin Nacanabo, Arthur Seghda, Nobila Valentin Yameogo, André Samadoulougou, Patrice Zabsonre
KEYWORDS:
Intracardiac Masses, Clinical, Therapeutic, Evolution, Cardiology
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.15 No.4,
April
22,
2025
ABSTRACT: Context: Intracardiac masses (ICMs) are detected during the exploration of cardiovascular pathologies or discovered incidentally. They include intracardiac thrombi, cardiac tumors and valvular vegetations. Method: This was a descriptive study retrospectively collected within the cardiology department from January 1, 2011 to March 31, 2013. All the patients diagnosed and hospitalized for intracardiac masses and followed-up for at least three months were included in the study. Outcomes: Among the 1066 patients admitted in the period of study, 80 patients had intracardiac masses, corresponding to a hospital frequency of 7.5%. The average age was 48.4 ± 17.4 years. ICM was detected during a thromboembolic complication in 18 cases (22.5%) and during a cardiological check-up for heart disease in 62 cases (77.5%). Thromboembolic complications were dominated by strokes in 55.6% of cases. Cardiology check-up was done because of exertional dyspnea (62 patients) in 77.5% of cases. Among these intracardiac masses (ICMs), intracardiac thrombosis (ICT) was observed in 41 cases (50.6%), followed by intracardiac vegetations in 32 cases (39.5%). The curative treatment of intracardiac masses consisted of anticoagulants in 65% of cases, antibiotics in 58.8% of cases and instrumental treatments in 1.3% of cases. We didn’t use cardiac surgery as a therapeutic means in our study. Twenty patients (25%) died during hospitalization, six of whom (30%) died as a result of thromboembolic complications. Conclusion: Intracardiac masses visualized on ultrasound are most often due to thrombi, vegetations or myxomas. In our study, intracardiac thrombosis was the most common masses, accounting for 50.6% of cases.