A Novel Surgical Approach to Cardiac Autotransplantation in Complex Cardiac Sarcoma Resection
| Autor: | O.H. Frazier, Ross M. Reul, Maher Nasser, James T. Wu |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Lung medicine.diagnostic_test business.industry Cardiac Neoplasm medicine.medical_treatment General Medicine Anastomosis medicine.disease Autotransplantation Surgery medicine.anatomical_structure Cardiac magnetic resonance imaging Mitral valve cardiovascular system medicine Sarcoma Cardiology and Cardiovascular Medicine business Left Pulmonary Vein |
| Zdroj: | Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery. 5:364-368 |
| ISSN: | 1559-0879 1556-9845 |
| Popis: | A 28-year-old woman was admitted to our institution, reporting progressive dyspnea, cough, and weight loss of 14 kg. Two-dimensional echocardiography revealed a left atrial mass, and cardiac magnetic resonance imaging showed localized involvement of the mass with adjacent structures. These clinical signs and radiographic images were highly suggestive of cardiac sarcoma. The patient underwent emergent mediastinal exploration, and an incisional biopsy of the mass showed high-grade sarcoma. Removing the tumor required radical en bloc resection of the left atrium, including the mitral valve, the left pulmonary vein, and the left lower lobe of the lung. Autotransplantation was necessary for the resection and reconstruction. We report a unique method of handling the right atrium to avoid the potential complications associated with bicaval anastomoses after autotransplantation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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