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Successful removal of massive cardiac neurilemoma with cardiopulmonary bypass
T Hashimoto1, S Eguchi, T Nakayama
1Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Niigata City, Japan.
Insights
A large intrapericardial tumor was surgically removed from a 46-year-old woman. Pathologic diagnosis confirmed the mass was a neurilemoma, a rare heart tumor.
Area of Science:
- Cardiology
- Surgical Oncology
- Pathology
Background:
- Intrapericardial tumors are rare and can cause significant cardiac complications.
- Early detection and surgical intervention are crucial for managing cardiac masses.
Observation:
- A 46-year-old female presented with cardiac enlargement on chest radiograph.
- Imaging revealed a massive 12x8x7 cm intrapericardial tumor.
- The tumor was densely adhered to the superior vena cava and right atrium.
Findings:
- Surgical tumor dissection was performed using cardiopulmonary bypass.
- The resected mass was pathologically diagnosed as a neurilemoma.
Implications:
- This case highlights the importance of thorough diagnostic workup for unexplained cardiac enlargement.
- Complete surgical resection of intrapericardial neurilemomas is feasible, even with extensive adhesions.
- Further research into the optimal management of rare cardiac tumors is warranted.
Abstract:
A 46-year-old woman was referred to our hospital because of cardiac enlargement seen on a chest radiograph. Imaging studies showed a massive intrapericardial tumor with a size of 12x8x7 cm. Tumor dissection included inspection of the inner aspect of the superior vena cava with use of cardiopulmonary bypass, because the mass was tightly adherent to both superior vena cava and right atrium. The pathologic diagnosis was neurilemoma.