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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...

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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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Extended cardiac resection for obstructing pseudotumor due to Ormond disease.

Brian Solomon1, Eugene A Grossi, Duane Monteith

  • 1Department of Cardiothoracic Surgery, New York University School of Medicine, and New York Harbor Veterans Healthcare System, New York, NY, USA.

The Annals of Thoracic Surgery
|July 30, 2010
PubMed
Summary

A rare myofibroblastic tumor caused an intracardiac mass in a patient with retroperitoneal fibrosis. Surgical resection and reconstruction were successfully performed, linking the cardiac and fibrotic lesions.

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Published on: March 27, 2018

Area of Science:

  • Cardiovascular Surgery
  • Oncology
  • Pathology

Background:

  • A 60-year-old male patient with a history of retroperitoneal fibrosis (Ormond disease) presented with symptoms indicative of an intracardiac mass.
  • Retroperitoneal fibrosis is a rare condition characterized by inflammatory fibrous thickening of the retroperitoneum.

Observation:

  • Magnetic resonance imaging (MRI) identified a significant bilobular mass within the right atrium.
  • The mass obstructed blood flow at the caval junction and exhibited intramural extension into the atria, septum, and right ventricle.

Findings:

  • The intracardiac mass was histologically identified as a myofibroblastic tumor.
  • The tumor demonstrated identical histologic features to the patient's pre-existing retroperitoneal fibrosis, suggesting a systemic origin or association.

Implications:

  • This case highlights a rare association between retroperitoneal fibrosis and cardiac myofibroblastic tumors.
  • Successful en bloc resection and complex cardiac reconstruction were achieved, offering a potential therapeutic approach for such rare presentations.
  • Further research may elucidate the underlying mechanisms connecting fibrotic and myofibroblastic neoplastic processes in different anatomical locations.