RESUMEN
The occurrence of multiple primary cardiac tumours in a single patient is extremely rare. Despite growing expertise in non-invasive diagnostic modalities, especially in transoesophageal echocardiography, only a few cases report the coincidence of papillary fibroelastoma of the aortic valve and myxoma of the left atrium. Moreover, echocardiographic as well as a macroscopic distinction between cardiac myxoma and cardiac fibroelastoma may be difficult. Only post-excisional histopathology provides diagnostic safety. Cryoablation of the remnant tissue prevents recurrence in both the aortic valve and the left atrium.
Asunto(s)
Fibroma , Neoplasias Cardíacas , Mixoma , Válvula Aórtica/diagnóstico por imagen , Válvula Aórtica/cirugía , Atrios Cardíacos/diagnóstico por imagen , Atrios Cardíacos/cirugía , Neoplasias Cardíacas/diagnóstico por imagen , Neoplasias Cardíacas/cirugía , Humanos , Mixoma/diagnóstico por imagen , Mixoma/cirugía , Recurrencia Local de NeoplasiaRESUMEN
The strategy for the successful removal of gigantic myxoma of the left atrium obstructing inflow into the left ventricle is presented. We consider an anterolateral minithoracotomy approach superior to median sternotomy for complete and comfortable atrial tumour excision because of the excellent exposure and the cosmetic outcome. After removal, local cryodestruction of potential remnant cells is mandatory to prevent recurrency.
Asunto(s)
Criocirugía/métodos , Neoplasias Cardíacas/cirugía , Procedimientos Quirúrgicos Mínimamente Invasivos/métodos , Mixoma/cirugía , Recurrencia Local de Neoplasia/prevención & control , Toracotomía/métodos , Femenino , Atrios Cardíacos , Neoplasias Cardíacas/diagnóstico , Humanos , Persona de Mediana Edad , Mixoma/diagnósticoRESUMEN
Heparin-induced thrombocytopenia type II (HIT type II) can have devastating consequences in cardiac surgical patients. We report two cases of massive left atrial thrombus after mitral valve replacement and endocardial cryoablation in patients with HIT type II.
