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A calcified amorphous tumour in a patient with coronary artery disease: an atypical entity
Channabasavaraj S Hiremath1, Sudheer Gandrakota1, Aditya N Doddamane1
1Department of Cardiovascular & Thoracic Surgery, Sri Sathya Sai Institute of Higher Medical Sciences, Bengaluru, India.
Insights
A rare calcified amorphous tumor in the right atrium was successfully removed in a 46-year-old man. The patient also underwent successful coronary artery bypass grafting, showing a good recovery.
Area of Science:
- Cardiovascular Surgery
- Cardiac Oncology
- Interventional Cardiology
Background:
- Coronary artery disease (CAD) and cardiac tumors are significant cardiovascular conditions.
- Calcified amorphous tumors (CATs) are rare cardiac masses with limited case reports.
Observation:
- A 46-year-old male presented with a calcified amorphous tumor in the right atrium.
- Preoperative imaging identified a mobile, polypoid mass attached to the interatrial septum and tricuspid valve annulus.
Findings:
- Successful surgical excision of the right atrial tumor was achieved.
- The patient underwent successful on-pump coronary artery bypass grafting concurrently with tumor removal.
Implications:
- This case highlights the feasibility of combined surgical procedures for complex cardiac conditions.
- Successful management of rare cardiac tumors alongside significant CAD is achievable.
- Further research into the optimal management strategies for calcified amorphous tumors is warranted.
Abstract:
We describe a case of a 46-year-old man with calcified amorphous tumour in the right atrium and significant coronary artery disease. Preoperative investigations revealed a polypoid oscillating mass arising from the interatrial septum and attached to the tricuspid valve annulus. On-pump complete extirpation of the tumour with concomitant coronary artery bypass grafting was performed successfully. The patient's postoperative course was uneventful.
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