ABSTRACT
A 60-year-old man was about to undergo minimally invasive aortic valve replacement when transesophageal echocardiography revealed an intracardiac mass on the left atrial free wall. Multimodal images from 5 months earlier had shown no mass. We converted the procedure to open surgery. The excised mass resembled a cardiac myxoma but was determined to be a papillary fibroelastoma. This case illustrates that papillary fibroelastomas can form and grow rapidly, warranting alertness for their unexpected discovery before and during cardiac surgical procedures.
Subject(s)
Cardiac Papillary Fibroelastoma , Fibroma , Heart Neoplasms , Myxoma , Aortic Valve/diagnostic imaging , Aortic Valve/surgery , Echocardiography, Transesophageal , Fibroma/diagnosis , Fibroma/surgery , Heart Neoplasms/diagnosis , Heart Neoplasms/surgery , Humans , Male , Middle AgedSubject(s)
Humans , Female , Middle Aged , Leukemia, Lymphocytic, Chronic, B-Cell/diagnosis , Lymphoma, B-Cell/diagnosis , Heart Atria/pathology , Heart Neoplasms/diagnosis , Biopsy , Leukemia, Lymphocytic, Chronic, B-Cell/surgery , Lymphoma, B-Cell/surgery , Coronary Angiography , Incidental Findings , Computed Tomography Angiography , Heart Neoplasms/surgeryABSTRACT
Paragangliomas are rare extra-adrenal tumors of sympathetic or parasympathetic paraganglia origin; of these, mediastinal paragangliomas are 2% of all cases. We present the case of a 21-year-old woman with uncontrolled arterial hypertension who had a functioning 6.5 × 6.2-cm retrocardiac paraganglioma firmly attached to the pericardium. The patient underwent tumor resection via a right thoracoabdominal incision; this surgical approach enabled adequate exposure for complete resection without institution of cardiopulmonary bypass or need for cardiac reconstruction or autotransplantation. Ten months postoperatively, the patient was doing well and was no longer hypertensive.
Subject(s)
Mediastinal Neoplasms/surgery , Paraganglioma, Extra-Adrenal/surgery , Pericardium/surgery , Thoracic Surgery, Video-Assisted , Thoracotomy , Arterial Pressure , Female , Humans , Hypertension/diagnosis , Hypertension/etiology , Hypertension/physiopathology , Mediastinal Neoplasms/complications , Mediastinal Neoplasms/diagnostic imaging , Mediastinal Neoplasms/pathology , Paraganglioma, Extra-Adrenal/chemistry , Paraganglioma, Extra-Adrenal/diagnostic imaging , Paraganglioma, Extra-Adrenal/pathology , Pericardium/diagnostic imaging , Pericardium/pathology , Positron Emission Tomography Computed Tomography , Treatment Outcome , Whole Body Imaging , Young AdultABSTRACT
Malignant cardiac tumors typically have a grave prognosis; their resection with negative margins is optimal. We present the case of a 21-year-old woman in whom we surgically resected a primary cardiac sarcoma and reconstructed the right atrium with use of a porcine urinary bladder membrane-the MatriStem(®) Surgical Matrix PSMX. The patient recovered uneventfully. Six months postoperatively, the right atrial wall had retained its integrity. In addition to our patient's case, we discuss the benefits of using the MatriStem membrane in cardiac reconstruction.
Subject(s)
Cardiac Surgical Procedures/methods , Heart Neoplasms/surgery , Sarcoma/surgery , Urothelium/transplantation , Animals , Female , Follow-Up Studies , Heart Atria , Heart Neoplasms/diagnosis , Heterografts , Humans , Magnetic Resonance Imaging, Cine , Plastic Surgery Procedures/methods , Sarcoma/diagnosis , Swine , Tomography, X-Ray Computed , Urinary Bladder/cytology , Young AdultABSTRACT
This report concerns a 69-year-old woman who presented with an asymptomatic myxoma in the left ventricle. The tumor was successfully excised. We provide a very brief review of 72 other published cases of surgically treated left ventricular myxoma.
Subject(s)
Cardiac Surgical Procedures , Heart Neoplasms/surgery , Heart Ventricles/surgery , Myxoma/surgery , Adolescent , Adult , Aged , Asymptomatic Diseases , Child , Echocardiography, Transesophageal , Female , Heart Neoplasms/pathology , Heart Ventricles/pathology , Humans , Male , Middle Aged , Myxoma/pathology , Treatment Outcome , Young AdultABSTRACT
We present the case of a 76-year-old woman who presented with dyspnea on exertion. Echocardiography revealed a mass located in the left atrium in proximity to the posterior leaflet of the mitral valve. The mass was successfully excised under cardiopulmonary bypass. Histopathologic analysis showed a capillary hemangioma. Twenty-five months after surgery, the patient remained asymptomatic, and her echocardiogram was normal. Herein, we discuss the histopathology and the clinical, diagnostic, and therapeutic aspects of hemangiomas. We include a selected overview of the literature on surgically treated patients.
