Septectomy and Biatrial Resection for Extensive Lipomatous Hypertrophy of the Interatrial Septum
- #AC/VAL 02-EP-13
- Adult Cardiac Surgery/Valves. E-POSTER (ORAL) SESSION 2
- Oral
Septectomy and Biatrial Resection for Extensive Lipomatous Hypertrophy of the Interatrial Septum
Davorin Sef 1, Marko I. Turina 2
1 Essex Cardiothoracic Centre, University Hospital Basildon, Basildon, United Kingdom; 2 University Hospital Zurich, Zurich, Switzerland;
Date, time and location: 2018.05.25 13:30, Exhibition area, 1st Floor. Zone – D
Abstract
We present a 67-year-old Caucasian male patient referred for assessment of a tumorous mass in the interatrial septum. Cardiac magnetic resonance revealed a non-capsulated 38x34 mm mass in atrial septum, extending into both atria. Successful surgical resection of the tumorous mass was performed which necessitated complete reconstruction of the right atrium with Dacron grafts connecting the superior and inferior vena cavae with the tricuspid orifice, and connection of the pulmonary veins to the mitral orifice with xenopericardium. Histology demonstrated lipomatous hypertrophy of interatrial septum. The patient remains well 1 year after surgery. The choice of treatment of lipomatous hypertrophy of the interatrial septum is still controversial and there have been only sporadic reports on surgical management of such anatomically difficult cardiac tumors.