Minimally-invasive approach via percutaneous femoral cannulation for the resection of intra-cardiac masses: a single center experience in the Middle-East
Abstract Background Intra-cardiac masses are rare and challenging lesions with an overall incidence ranging of 0.02–0.2%. Minimally invasive approaches have been recently introduced for surgical resection of these lesions. Here, we evaluated our early experience using minimally invasive techniques i...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-023-02295-1 |
| _version_ | 1797784407158816768 |
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| author | Uthman Aluthman Mohammed A. Ashour Salman W. Bafageeh Abivarma Chandrakumaran Taraji S. Alrehaili Osama A. Abdulrahman Ahmed F. Elmahrouk Shalan Alaamri Saeed A. AlGhamdi Ahmed A. Jamjoom |
| author_facet | Uthman Aluthman Mohammed A. Ashour Salman W. Bafageeh Abivarma Chandrakumaran Taraji S. Alrehaili Osama A. Abdulrahman Ahmed F. Elmahrouk Shalan Alaamri Saeed A. AlGhamdi Ahmed A. Jamjoom |
| author_sort | Uthman Aluthman |
| collection | DOAJ |
| description | Abstract Background Intra-cardiac masses are rare and challenging lesions with an overall incidence ranging of 0.02–0.2%. Minimally invasive approaches have been recently introduced for surgical resection of these lesions. Here, we evaluated our early experience using minimally invasive techniques in addressing intra-cardiac lesions. Methodology This is a retrospective descriptive study conducted between April 2018 to December 2020. All patients were diagnosed with cardiac tumors and treated via a right mini-thoracotomy with cardiopulmonary bypass through femoral cannulation at King Faisal Specialist Hospital and Research Centre, Jeddah. Results Myxoma was the most common pathology representing 46% of cases followed by thrombus (27%), leiomyoma (9%), lipoma (9%) and angiosarcoma (9%). All tumors were resected with negative margins. One patient was converted to open sternotomy. Tumor locations were in the right atrium, left atrium, and left ventricle in 5, 3, and 3 patients, respectively. The median ICU stay was 1.33 days. The median length of hospitalization was 5.7 days. There was no 30-days hospital mortality recorded in this cohort. Conclusion Our early experience shows that minimally invasive resection can be performed safely and effectively for intra-cardiac masses. The minimally invasive approach using a mini-thoracotomy with percutaneous femoral cannulation can be an effective alternative in resecting intra-cardiac masses that achieves clear margin resection, quick post-operative recovery, and low rates of recurrence for benign lesions. |
| first_indexed | 2024-03-13T00:39:27Z |
| format | Article |
| id | doaj.art-308c9ba9158f46d098bae3cb506b7a9b |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-03-13T00:39:27Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-308c9ba9158f46d098bae3cb506b7a9b2023-07-09T11:24:15ZengBMCJournal of Cardiothoracic Surgery1749-80902023-07-011811810.1186/s13019-023-02295-1Minimally-invasive approach via percutaneous femoral cannulation for the resection of intra-cardiac masses: a single center experience in the Middle-EastUthman Aluthman0Mohammed A. Ashour1Salman W. Bafageeh2Abivarma Chandrakumaran3Taraji S. Alrehaili4Osama A. Abdulrahman5Ahmed F. Elmahrouk6Shalan Alaamri7Saeed A. AlGhamdi8Ahmed A. Jamjoom9Cardiovascular Department, King Faisal Specialist Hospital and Research CentreCollege of Medicine, King Abdulaziz UniversityCollege of Medicine, King Saud Bin Abdulaziz University for Health ScienceTbilisi State Medical UniversityCollege of Medicine, Umm Al-Qura UniversityCollege of Medicine, Umm Al-Qura UniversityCardiovascular Department, King Faisal Specialist Hospital and Research CentreCollege of Medicine, University of JeddahKing Fahad General HospitalCardiovascular Department, King Faisal Specialist Hospital and Research CentreAbstract Background Intra-cardiac masses are rare and challenging lesions with an overall incidence ranging of 0.02–0.2%. Minimally invasive approaches have been recently introduced for surgical resection of these lesions. Here, we evaluated our early experience using minimally invasive techniques in addressing intra-cardiac lesions. Methodology This is a retrospective descriptive study conducted between April 2018 to December 2020. All patients were diagnosed with cardiac tumors and treated via a right mini-thoracotomy with cardiopulmonary bypass through femoral cannulation at King Faisal Specialist Hospital and Research Centre, Jeddah. Results Myxoma was the most common pathology representing 46% of cases followed by thrombus (27%), leiomyoma (9%), lipoma (9%) and angiosarcoma (9%). All tumors were resected with negative margins. One patient was converted to open sternotomy. Tumor locations were in the right atrium, left atrium, and left ventricle in 5, 3, and 3 patients, respectively. The median ICU stay was 1.33 days. The median length of hospitalization was 5.7 days. There was no 30-days hospital mortality recorded in this cohort. Conclusion Our early experience shows that minimally invasive resection can be performed safely and effectively for intra-cardiac masses. The minimally invasive approach using a mini-thoracotomy with percutaneous femoral cannulation can be an effective alternative in resecting intra-cardiac masses that achieves clear margin resection, quick post-operative recovery, and low rates of recurrence for benign lesions.https://doi.org/10.1186/s13019-023-02295-1Minimally invasive surgeryCardiac tumorsCardiac myxomaAngiosarcomaMinithoracotomyMiddle East |
| spellingShingle | Uthman Aluthman Mohammed A. Ashour Salman W. Bafageeh Abivarma Chandrakumaran Taraji S. Alrehaili Osama A. Abdulrahman Ahmed F. Elmahrouk Shalan Alaamri Saeed A. AlGhamdi Ahmed A. Jamjoom Minimally-invasive approach via percutaneous femoral cannulation for the resection of intra-cardiac masses: a single center experience in the Middle-East Journal of Cardiothoracic Surgery Minimally invasive surgery Cardiac tumors Cardiac myxoma Angiosarcoma Minithoracotomy Middle East |
| title | Minimally-invasive approach via percutaneous femoral cannulation for the resection of intra-cardiac masses: a single center experience in the Middle-East |
| title_full | Minimally-invasive approach via percutaneous femoral cannulation for the resection of intra-cardiac masses: a single center experience in the Middle-East |
| title_fullStr | Minimally-invasive approach via percutaneous femoral cannulation for the resection of intra-cardiac masses: a single center experience in the Middle-East |
| title_full_unstemmed | Minimally-invasive approach via percutaneous femoral cannulation for the resection of intra-cardiac masses: a single center experience in the Middle-East |
| title_short | Minimally-invasive approach via percutaneous femoral cannulation for the resection of intra-cardiac masses: a single center experience in the Middle-East |
| title_sort | minimally invasive approach via percutaneous femoral cannulation for the resection of intra cardiac masses a single center experience in the middle east |
| topic | Minimally invasive surgery Cardiac tumors Cardiac myxoma Angiosarcoma Minithoracotomy Middle East |
| url | https://doi.org/10.1186/s13019-023-02295-1 |
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