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Totally endoscopic resection of epicardial cardiac haemangioma under on-pump beating heart
Huu Cong Nguyen1, Dat Thanh Pham1
1Cardiovascular Center, E Hospital, 89 Tran Cung Street, Cau giay District, Hanoi, Viet Nam.
Insights
Cardiac haemangioma (CH), a rare heart tumor, was successfully removed using totally endoscopic surgery (TES) with on-pump beating-heart (ON-BH) technique. This minimally invasive approach offers a safe and effective option for patients with cardiac haemangioma.
Area of Science:
- Cardiovascular Surgery
- Surgical Oncology
Background:
- Cardiac haemangioma (CH) is an exceptionally rare benign cardiac tumor, accounting for only 2.8% of primary heart tumors.
- Symptoms are often nonspecific, necessitating imaging for diagnosis.
- Symptomatic patients typically require radical surgical resection.
Observation:
- A case of incidentally discovered epicardial cardiac haemangioma on the right side of the heart is presented.
- The tumor was successfully removed utilizing totally endoscopic surgery (TES).
- The procedure was performed concomitantly with cardiopulmonary bypass (CPB) using an on-pump beating-heart (ON-BH) technique.
Findings:
- Totally endoscopic resection of cardiac haemangioma under on-pump beating-heart conditions is demonstrated as a viable surgical option.
- This combined approach offers potential clinical benefits and aligns with patient preferences for minimally invasive procedures.
Implications:
- The study suggests that TES combined with ON-BH is a safe and effective method for cardiac haemangioma resection.
- This minimally invasive technique may become a preferred alternative to traditional median sternotomy for selected patients.
- Further adoption of this technique can enhance patient recovery and outcomes in managing rare cardiac tumors.
Introduction:
Cardiac haemangioma (CH) is an extremely rare type of benign heart tumor, with prevalence only 2.8% of all primary cardiac tumors. The symptoms of tumor are often nonspecific. Preoperative screening and diagnosis are based on imaging examinations. Radical surgical resection is indicated in symptomatic patients.
Case Presentation:
We report on a case of an incidentally found tumor located on the right-sided epicardium that was successfully removed with the totally endoscopic surgery (TES) and the concomitant use of cardiopulmonary bypass (CPB).
Discussion:
Excision of these tumors has been described through a median sternotomy approach. In recent years, TES has grown in popularity with many advantages. On the other hand, on-pump beating-heart (ON-BH) technique has been appreciated as a superior myocardial preservation method. The combination of these procedure provides clinical benefits and patient preferences.
Conclusion:
Totally endoscopic resection of CH under ON-BH is a safe, effective procedure, which can be adopted in similar cases.
