Multimodality Preoperative Planning and Postoperative Follow-up of a Hybrid Cardiac Intervention

Plass, Andre; Schepis, Tiziano; Scheffel, Hans; Eberli, Franz; Kaufmann, Philipp; Alkadhi, Hatem; Pretre, Rene; Grünenfelder, Jürg (2008). Multimodality Preoperative Planning and Postoperative Follow-up of a Hybrid Cardiac Intervention. Heart surgery forum, 11(6), E375-7. Charlottesville, Va.: Forum Multimedia Pub. 10.1532/HSF98.20081061

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We describe the case of a 59-year-old man who had aortic regurgitation and a hypoplastic aortic valve and for whom an echocardiography evaluation revealed a vascular tumor in the roof of the left atrium, which was suspected to be a hemangioma. After undergoing preoperative invasive catheter coronary angiography, echocardiography, and multislice computed tomography examinations, the patient underwent an aortic miniroot replacement. Intraoperative findings confirmed the findings of the preoperative evaluations. The tumor, although macroscopically verified as a hemangioma, was not resected because of the tumor's position and size, and the threat of uncontrollable bleeding. After an uneventful postoperative clinical course, a subsequent successful transcatheter coil occlusion of the coronary fistula from the left circumflex coronary artery was performed as an alternative to surgical resection of the tumor. This case emphasizes the future role of a multimodality hybrid approach for diagnosis, planning (different 2- and 3-dimensional imaging modalities), and treatment in the form of combining interventional (transcatheter) and surgical (open heart) techniques, which could optimize different treatment strategies. This approach could be further improved by increasing the installations of hybrid operating rooms.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Eberli, Franz

ISSN:

1098-3511

ISBN:

19073537

Publisher:

Forum Multimedia Pub.

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:02

Last Modified:

04 May 2014 23:18

Publisher DOI:

10.1532/HSF98.20081061

PubMed ID:

19073537

Web of Science ID:

000265130600011

URI:

https://boris.unibe.ch/id/eprint/26947 (FactScience: 99186)

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