Excision of left atrial myxoma under perfused ventricular fibrillation with hypothermia after coronary artery bypass grafting
Abstract Background Redo heart surgery has become increasingly common but involves additional high surgical risk, especially redo surgery after coronary artery bypass grafting (CABG). Case presentation In this study, we report the case of a 57-year-old Chinese male with left atrium myxoma who had pr...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-023-02400-4 |
| _version_ | 1797556540180267008 |
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| author | Shaobo Pan Yalin Wang Yanjia Gu Weidong Li Hongfei Xu |
| author_facet | Shaobo Pan Yalin Wang Yanjia Gu Weidong Li Hongfei Xu |
| author_sort | Shaobo Pan |
| collection | DOAJ |
| description | Abstract Background Redo heart surgery has become increasingly common but involves additional high surgical risk, especially redo surgery after coronary artery bypass grafting (CABG). Case presentation In this study, we report the case of a 57-year-old Chinese male with left atrium myxoma who had previously undergone CABG. Common surgical methods usually include aortic cross-clamping, administering cold cardioplegia perfusion to protect the myocardium, opening the heart, and then removing the tumor. However, for patients with previous CABG, redo thoracotomy and ascending aortic cross-clamping present a greater risk of damage to the grafted vessels. In this study, we chose a right lateral mini-thoracotomy incision and hypothermia-induced ventricular fibrillation to minimize damage and avoid any adverse effects on the bridge vasculature. The patient recovered uneventfully and was discharged seven days after surgery. Conclusions For patients with previous CABG, minimally invasive right thoracotomy under perfused ventricular fibrillation with hypothermia is safe and reliable and can prevent potential damage to the ascending aorta and graft. |
| first_indexed | 2024-03-10T17:04:21Z |
| format | Article |
| id | doaj.art-dd2b5e131cf742088bbf746ba2117d84 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-03-10T17:04:21Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-dd2b5e131cf742088bbf746ba2117d842023-11-20T10:52:37ZengBMCJournal of Cardiothoracic Surgery1749-80902023-10-011811410.1186/s13019-023-02400-4Excision of left atrial myxoma under perfused ventricular fibrillation with hypothermia after coronary artery bypass graftingShaobo Pan0Yalin Wang1Yanjia Gu2Weidong Li3Hongfei Xu4Department of Operation Room, School of Medicine, The First Affiliated Hospital of Zhejiang UniversityDepartment of Operation Room, School of Medicine, The First Affiliated Hospital of Zhejiang UniversityDepartment of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang UniversityDepartment of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang UniversityDepartment of Cardiovascular Surgery, School of Medicine, The First Affiliated Hospital of Zhejiang UniversityAbstract Background Redo heart surgery has become increasingly common but involves additional high surgical risk, especially redo surgery after coronary artery bypass grafting (CABG). Case presentation In this study, we report the case of a 57-year-old Chinese male with left atrium myxoma who had previously undergone CABG. Common surgical methods usually include aortic cross-clamping, administering cold cardioplegia perfusion to protect the myocardium, opening the heart, and then removing the tumor. However, for patients with previous CABG, redo thoracotomy and ascending aortic cross-clamping present a greater risk of damage to the grafted vessels. In this study, we chose a right lateral mini-thoracotomy incision and hypothermia-induced ventricular fibrillation to minimize damage and avoid any adverse effects on the bridge vasculature. The patient recovered uneventfully and was discharged seven days after surgery. Conclusions For patients with previous CABG, minimally invasive right thoracotomy under perfused ventricular fibrillation with hypothermia is safe and reliable and can prevent potential damage to the ascending aorta and graft.https://doi.org/10.1186/s13019-023-02400-4MyxomaRedo surgeryVentricular fibrillationCoronary artery bypass grafting |
| spellingShingle | Shaobo Pan Yalin Wang Yanjia Gu Weidong Li Hongfei Xu Excision of left atrial myxoma under perfused ventricular fibrillation with hypothermia after coronary artery bypass grafting Journal of Cardiothoracic Surgery Myxoma Redo surgery Ventricular fibrillation Coronary artery bypass grafting |
| title | Excision of left atrial myxoma under perfused ventricular fibrillation with hypothermia after coronary artery bypass grafting |
| title_full | Excision of left atrial myxoma under perfused ventricular fibrillation with hypothermia after coronary artery bypass grafting |
| title_fullStr | Excision of left atrial myxoma under perfused ventricular fibrillation with hypothermia after coronary artery bypass grafting |
| title_full_unstemmed | Excision of left atrial myxoma under perfused ventricular fibrillation with hypothermia after coronary artery bypass grafting |
| title_short | Excision of left atrial myxoma under perfused ventricular fibrillation with hypothermia after coronary artery bypass grafting |
| title_sort | excision of left atrial myxoma under perfused ventricular fibrillation with hypothermia after coronary artery bypass grafting |
| topic | Myxoma Redo surgery Ventricular fibrillation Coronary artery bypass grafting |
| url | https://doi.org/10.1186/s13019-023-02400-4 |
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