Resection of a large primary left ventricle tumour by cardiac autotransplantation in a 2-month-old infant: a case report

Abstract

Background Surgery is the fundamental method for the treatment of primary cardiac tumours. However, due to the inaccessibility of anatomy and the proximity of important structures, it is very difficult to completely resect tumours of the left atrium or left ventricle without damaging the normal tissues. Cardiac autotransplantation for the resection of cardiac tumours is carried out by taking out the heart from the body, resecting cardiac tumours, and then transplanting the heart back into the body. Case summary This article presents a successful case of cardiac autotransplantation for the complete resection of primary cardiac tumour in a 2-month-old infant and shares the noteworthy experience. Discussion Tumours located in the left atrium and left ventricle are difficult to be exposed because of their deep posterior location and proximity to important anatomical structures such as mitral valve and chordae tendineae. How to resect the tumours completely without damaging the normal tissues is a great challenge. This case proves that cardiac autotransplantation is a good solution for tumours that are difficult to be resected completely by orthotopic cardiac transplantation.

Application of Three-Dimensional Printing Technology in the Perioperative Management of Cardiac Tumours: A Review and Analysis

“…Table 1 (Ref. [ 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ]) summarizes the characteristics of the eligible studies in this review. Fig.…”

“…Among them, three studies utilized patient-specific 3D cardiac tumour models for preoperative planning and simulation, leading to alterations in the initial surgical approach and the selection of a more convenient and less damaging method for tumour removal [ 8 , 10 , 20 ]. In these studies, five patients underwent autologous cardiac transplantation for the resection of cardiac tumours, which can be considered for left-sided malignant tumours or complex benign cardiac tumours [ 11 , 15 , 16 , 18 , 19 ]. Among the 16 patients analysed, 8 had postoperative follow-up data.…”

Resection of a synovial cell sarcoma by cardiac autotransplantation: A case report

“…Echocardiography and cardiac MRI enable physicians to roughly estimate the size of the tumor, 5 but it is challenging to fully understand the extent of the tumor until the heart is explanted. In our case, there was some discrepancy between the size interpreted from imaging and the size of the resected mass, which could be due to the difficulty to truly appreciate both the extent of the tumor and the necessary margins for resection with 2-dimensional MRI.…”