Troubleshooting a missing intra-cardiac tumor at the time of bypass

Forcillo, Jessica; Lalonde, Alexandre; Stevens, Louis-Mathieu; Noiseux, Nicolas
January 2011
Perfusion;Jan2011, Vol. 26 Issue 1, p65
Academic Journal
Background: Primary cardiac tumors are rare and the only curative treatment consists of complete excision under cardiopulmonary bypass (CPB). This case report presents an unusual case of an intra-cardiac tumor which was missing at the time of surgical excision. Method and Results: The patient was scheduled to undergo surgical tumor removal and double coronary artery bypass grafting (CABG). Intraoperatively, transesophageal echocardiography (TEE) demonstrated a mobile and pediculated tumor in the left ventricular outflow tract (LVOT). Unfortunately, at the time of tumor excision under CPB, this was missing. Before confirming tumor embolization, the CPB system was inspected. The tumor was found on the lateral part of the defoaming filter. Conclusion: Careful mobilization of the heart is recommended during surgery. In this case, it was unexpected that the tumor made its way through the vent line and unidirectional valve up to the venous reservoir where it was fortunately found.


Related Articles

  • Cannula design reduces particulate and gaseous emboli during cardiopulmonary bypass for coronary revascularization. Lata, Adrian L; Hammon, John W; Deal, Dwight D; Stump, David A; Kincaid, Edward H; Kon, Neal D // Perfusion;May2011, Vol. 26 Issue 3, p239 

    Purpose: The incidence of neurocognitive deficits after coronary bypass surgery remains problematic, with atheroembolism being one of the major causes. External manipulation of aorta and the “sandblasting” effect of the high-velocity perfusion jet can cause dislodgement of...

  • Reply to Letter. Sohn, N.; Marcoux, J.; Mycyk, T.; Krahn, J.; Meng, Q. H. // Perfusion;Nov2010, Vol. 25 Issue 6, p429 

    A response by N. Sohn and colleagues to a letter to the editor on their article "The impact of different biocompatible coated cardiopulmonary bypass circuits on inflammatory response and oxidative stress," in the 2009 issue is presented.

  • Why look backwards? Kurusz, Mark // Perfusion;Sep2011, Vol. 26 Issue 5, p357 

    The author highlights the skills of early perfusionists and mentions that the most challenging cases they faced were aortic valve replacements which required the simultaneous operation of six roller pumps. With the advent of the coronary artery bypass operation, perfusionists were no longer...

  • Commentary on: Can minimized cardiopulmonary bypass systems be safer? Weerwind, P // Perfusion;May2012, Vol. 27 Issue 3, p185 

    The article presents a commentary expressing the views of P. Weerwind about his paper presentation at the 32nd Annual Seminar of the American Academy of Cardiovascular Perfusion. He mentions the use of Better Bladderâ„¢, a compliance chamber, into miniaturized circuit for procedures such as...

  • Can minimized cardiopulmonary bypass systems be safer? Ganushchak, YM; Ševerdija, EE; Simons, AP; van Garsse, L; Weerwind, PW // Perfusion;May2012, Vol. 27 Issue 3, p176 

    Although a growing body of evidence indicates superiority of minimized cardiopulmonary bypass (mCPB) systems over conventional CPB systems, limited venous return can result in severe fluctuations of venous line pressure which can result in gaseous emboli. In this study, we investigated the...

  • A Different Way of Coronary Lesion Preparation: Stentablation and Rotastenting. Akin, Ibrahim; Pohlmann, Steffen; Nienaber, Christoph A.; Ince, Hseyin // Clinical Medicine Insights: Cardiology;2012, Issue 6, p53 

    Calcified coronary lesions are challenging to deal with, as they require optimal lesion preparation. Direct stenting in this scenario is associated with risk of stent-underexpansion, which is related to in-stent restenosis, target lesion revascularization and stent-thrombosis. We report on the...

  • Extensive Dissection to the Coronary Sinus of Valsalva During Percutaneous Intervention in Right Coronary Artery--A Case Report and Literature Review. Li, Li; Cao, Yunshan // Clinical Medicine Insights: Cardiology;2011, Issue 5, p41 

    Severe retrograde dissection extending into the sinus of Valsalva is a rare complication during percutaneous coronary intervention (PCI), but life threatening. There is some literature about this complication, but this particular complication has not been previously reported in China. We present...

  • The impact of balanced hydroxylethyl starch cardiopulmonary bypass priming solution on the fibrin part of clot formation: ex vivo rotation thromboelastometry. Appelman, Marly H; van Barneveld, Lerau J M; Romijn, Johannes W A; Vonk, Alexander B A; Boer, Christa // Perfusion;May2011, Vol. 26 Issue 3, p175 

    Introduction: Balanced colloidal priming solutions are supposed to further minimize the effects of cardiopulmonary bypass (CPB) on haemostasis as compared to gelatin-based preparations. This exploratory study investigated whether clot formation, in particular the fibrin part of the clot, is less...

  • Comparison of the effects of pulsatile cardiopulmonary bypass, non-pulsatile cardiopulmonary bypass and off-pump coronary artery bypass grafting on the inflammatory response and S-100beta protein. Bayram, H; Erer, D; Iriz, E; Zor, MH; Gulbahar, O; Ozdogan, ME // Perfusion;Jan2012, Vol. 27 Issue 1, p56 

    Background: We aimed to investigate the effects of off-pump coronary artery bypass grafting, pulsatile cardiopulmonary bypass, and non-pulsatile cardiopulmonary bypass techniques on the inflammatory response and the central nervous system in the current study.Methods: A total of 32 patients who...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics