Case Report: 3D Printing Guided Cardiac Autotransplantation for Treatment of a Giant Complex Primary Left Atrial Tumor

Primary cardiac tumors are rare and complete surgical resection is the optimal treatment. However, it is a great challenge to resect some malignant or complex benign left-sided cardiac tumors situated on the posterior aspect of the heart using conventional surgical resection techniques. Previous studies reported that cardiac autotransplantation is a feasible and safe technique for resection of such cardiac tumors. We report a successful case of cardiac autotransplantation with 3-dimensional (3D) printing technique for complete resection of a giant complex primary left atrial tumor.

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Recurrent Left Atrial Botyroid Rhabdomyosarcoma

The Heart Surgery Forum ◽

10.1532/hsf.1418 ◽

2016 ◽

Vol 19 (3) ◽

pp. 097

Author(s):

Günseli Abay ◽

Cemal Kocaaslan ◽

Rafet Günay ◽

Meryem Doğan ◽

Mahmut Murat Demirtaş

Keyword(s):

Left Atrial ◽

Malignant Tumors ◽

Benign Tumors ◽

Cardiac Tumors ◽

Cardiac Symptoms ◽

Systemic Embolization ◽

Left Atrial Tumor ◽

Heart Tumors ◽

Atrial Tumor ◽

Primary Cardiac Tumors

Primary heart tumors are extremely rare and their frequency ranges from approximately 0.01-0.3% in autopsy series. Nearly one quarter of all primary cardiac tumors are malignant tumors such as sarcoma. Rhabdomyosarcoma is the second most common malignant primary tumor of the heart following angiosarcoma.<br />Primary cardiac tumors present with one or more of the symptoms of the classic triad: cardiac symptoms and signs resulting from intracardiac obstruction; signs of systemic embolization; and systemic or constitutional symptoms. The prognosis after surgery is usually excellent in case of benign tumors, but is unfortunately still limited in localized malignant diseases [Butany 2005].<br />In this case report we present a 45-year-old female patient operated three times in 9 years because of left atrial tumor.

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Comparison of Endoscopic Robotic versus Sternotomy Approach for the Resection of Left Atrial Tumors

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0000000000000282 ◽

2016 ◽

Vol 11 (4) ◽

pp. 274-277 ◽

Cited By ~ 5

Author(s):

Emmanuel Moss ◽

Michael E. Halkos ◽

Jeffrey S. Miller ◽

Douglas A. Murphy

Keyword(s):

Blood Transfusion ◽

Left Atrial ◽

Tumor Resection ◽

Cardiac Tumors ◽

Robotic Approach ◽

Robotic Group ◽

Robotic Assisted ◽

Left Atrial Tumor ◽

Atrial Tumor ◽

Perioperative Blood Transfusion

Objective Primary cardiac tumors most commonly occur in the left atrium. The aim of this study was to compare outcomes among patients undergoing isolated left atrial tumor resection via sternotomy or robotic approach. Methods From 2003 to 2013, 69 patients underwent isolated left atrial tumor resection at 3 affiliated hospitals with either a sternotomy (n = 39) or robotic approach (n = 30). A retrospective review of prospectively collected data was performed, and outcomes were compared between the sternotomy and robotic groups. Univariate and multivariate analyses controlling for pertinent preoperative characteristics were performed. Results Patients’ characteristics in the 2 groups were similar, with the exception of a history of chronic obstructive pulmonary disease (sternotomy, 12.8% vs robotic, 0%; P < 0.04) and elective surgical status (sternotomy, 64.1% vs robotic, 93.3%; P < 0.02). On univariate analysis, robotic-assisted surgery was associated with significantly shorter postoperative mechanical ventilation, intensive care unit (ICU) length of stay (LOS), hospital LOS, and a lower rate of perioperative blood transfusion. After controlling for patient comorbidity in a multiple logistic regression model, there remained a trend toward decreased blood transfusions (adjusted odds ratio, 0.33; CI, 0.09–1.20; P = 0.09), shorter ICU (16.3 fewer hours; P = 0.11), and hospital LOS (1.1 fewer days; P = 0.17) in the robotic group. There was one postoperative stroke in the sternotomy group and none in the robotic group (P = 0.21). Conclusions Robotic-assisted left atrial tumor resection is feasible and may be associated with a lower incidence of perioperative blood transfusion as well as shorter ventilation time, and shorter ICU and hospital LOS.

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