Atrial Kitleyi Taklit Eden Spontan İntramural Sol Atrial Hematomun Robot-Asiste Tedavisi

Year 2023, , 202 - 205, 23.03.2023

Ali Baran Budak , Halil Hüzmeli Enis Oğuz , Ahmet Özkara

https://doi.org/10.18663/tjcl.1251622

Cited By: 1

Abstract

Primer veya metastatik kalp tümörünü taklit eden spontan intramural sol atriyal hematom çok nadir bir antitedir. Uzun süreli göğüs ağrısı ve halsizlik şikayeti ile başvuran 60 yaşında kronik miyeloid lösemi hastası bir erkek hastayı sunuyoruz. Transtorasik ekokardiyografide sol atriyumda posterior mitral anulusa yakın bir kitle saptandı ve etyolojik tanı konulamadı. Atriyal neoplazmı ekarte etmek, kitle obstrüksiyonunu ve mitral kapak yetmezliğini önlemek için cerrahi tedavi uygulandı. Bu, literatürde robot yardımlı minimal invaziv cerrahinin bu kadar nadir görülen bir durumu yönetmek için kullanıldığı ilk vakadır.

Keywords

intramural sol atrial hematom, robot asiste cerrahi, minimal invazif cerrahi, intramural left atrial hematoma, robot-assisted surgery, minimally invasive surgery

Robot-Assisted Management of Spontaneous Intramural Left Atrial Hematoma Mimicking an Atrial Mass

Abstract

Spontaneous Intramural left atrial hematoma that mimics a primary or metastatic cardiac tumor is a very rare entity. We report a case of a 60-year-old man suffering from chronic myeloid leukemia, who was admitted for prolonged chest pain and fatigue. Transthoracic echocardiography revealed a left atrial mass in close proximity to the posterior mitral annulus and failed to provide an ethiological diagnosis. Surgical management was utilized to outrule the atrial neoplasm and to prevent emboli, obstruction and mitral valve insufficiency. This is the first case in the literature in which robot-assisted minimally invasive surgery was adopted to manage such a rare entity.

Keywords

intramural left atrial hematoma, robot-assisted surgery, minimally invasive surgery

References

• 1. Trappe HJ, Daniel WG, Hetzer R, Döhring W, Lichtlen PR. Intramural right atrial hematoma following coronary artery bypass surgery. Am Heart J 1985;109:917-8.
• 2. Giudicatti L, King B, Lee F, Lam K, Stamp N, et al. Left Atrial Intramural Hematoma Post-Ablation of Supraventricular Tachycardia: A Rare Complication Treated Successfully. JACC Case Rep 2020 Feb 5;2(2):223-226.
• 3. Capllonch FG, Arce J, Serés L, Vallejo N, Ferrer E, et al. Left atrial intramural haematoma associated with mitral annular calcification. Eur J Echocardiogr. 2010 Jun;11(5):E18.
• 4. Schecter SO, Fyfe B, Pou R, Goldman ME. Intramural left atrial hematoma complicating mitral annular calcification. Am Heart J 1996;132: 455–457.
• 5. Roynard JL, Fosse JP, Cohen Y, Artigou JY, Hoa`ng P. Left atrial contusion with intramyocardial hematoma after a blunt chest trauma. Intensive Care Med 1995;21:384–385.
• 6. Shaikh N, Rehman NU, Salazar MF, Grodman RS. Spontaneous Intramural Atrial Hematoma Presenting as a Left Atrial Mass. J Am Soc Echocardiogr 1999;12:1101-3.
• 7. Jothidasan A, Attaran S, Hunter D, de Souza AC . Management of a left atrial intramural hematoma after percutaneous intervention. Ann Thorac Surg. 2014 Jun;97(6):2196-7.
• 8. Vadgaonkar V, Yousif N, Sabde S , Slais S, Darwish A, et al. Spontaneous left atrial multiseptated intramural dissecting hematoma. Echocardiography. 2020 Oct;37(10):1682-1686.
• 9. Franks RJ, de Souza A, di Mario C. Left Atrial Intramural Hematoma After Percutaneous Coronary Intervention. Catheter Cardiovasc Interv. 2015 Sep;86(3):E150-2.
• 10. Schilling J, Engel AM, Hassan M, et al. Robotic excision of atrial myxoma. J Card Surg 2012;27:423–6.
• 11. Hemli JM, Patel NC. Robotic Cardiac Surgery. Surg Clin North Am. 2020 Apr;100(2):219-236.