Minimally-invasive approach via percutaneous femoral cannulation for the resection of intra-cardiac masses: a single center experience in the Middle-East

• Published in: Journal of cardiothoracic surgery 2023-07, Vol.18 (1), p.203-203, Article 203
• Main Authors: Aluthman, Uthman, Ashour, Mohammed A, Bafageeh, Salman W, Chandrakumaran, Abivarma, Alrehaili, Taraji S, Abdulrahman, Osama A, Elmahrouk, Ahmed F, Alaamri, Shalan, AlGhamdi, Saeed A, Jamjoom, Ahmed A
• Format: Article
• Language: English
• Subjects: Angiosarcoma; Atria; Blood clot; Cannulation; Cardiac myxoma; Cardiac patients; Cardiac tumors; Care and treatment; Clinics; Coronary artery bypass; Dyspnea; Early experience; Embolisms; Femur; Fibroids; Health aspects; Heart; Heart surgery; Hospitals; Length of stay; Lesions; Lipoma; Methods; Middle East; Minimally invasive surgery; Minithoracotomy; Mortality; Myxoma; Ostomy; Pathology; Patient satisfaction; Research facilities; Stroke; Surgery; Sutures; Thrombosis; Tumors; Ultrasonic imaging; Ventricle
• ISSN: 1749-8090; 1749-8090
• DOI: 10.1186/s13019-023-02295-1

Intra-cardiac masses are rare and challenging lesions with an overall incidence ranging of 0.02-0.2%. Minimally invasive approaches have been recently introduced for surgical resection of these lesions. Here, we evaluated our early experience using minimally invasive techniques in addressing intra-cardiac lesions. This is a retrospective descriptive study conducted between April 2018 to December 2020. All patients were diagnosed with cardiac tumors and treated via a right mini-thoracotomy with cardiopulmonary bypass through femoral cannulation at King Faisal Specialist Hospital and Research Centre, Jeddah. Myxoma was the most common pathology representing 46% of cases followed by thrombus (27%), leiomyoma (9%), lipoma (9%) and angiosarcoma (9%). All tumors were resected with negative margins. One patient was converted to open sternotomy. Tumor locations were in the right atrium, left atrium, and left ventricle in 5, 3, and 3 patients, respectively. The median ICU stay was 1.33 days. The median length of hospitalization was 5.7 days. There was no 30-days hospital mortality recorded in this cohort. Our early experience shows that minimally invasive resection can be performed safely and effectively for intra-cardiac masses. The minimally invasive approach using a mini-thoracotomy with percutaneous femoral cannulation can be an effective alternative in resecting intra-cardiac masses that achieves clear margin resection, quick post-operative recovery, and low rates of recurrence for benign lesions.