Autotrasplante cardiaco en el tratamiento quirúrgico de tumores cardiacos primarios: Caso clínico

Background: Heart autotrasplantation is an exceptional surgical technique used in the treatment of uncontrolled cardiac arrhythmias and primary unresectable cardiac tumors. We report a 28-year-old male with a rhabdomyosarcoma of the left ventricle, localized in the lateral and posterior wall, which...

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Autores principales:	Selman A,Rafael, Ubilla S,Matías, Espinoza H,Juan, Muñoz P,Julio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2012
Materias:	Cardiomyoplasty Heart transplantation Rhabdomyosarcoma
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000600013
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spelling	oai:scielo:S0034-988720120006000132014-03-10Autotrasplante cardiaco en el tratamiento quirúrgico de tumores cardiacos primarios: Caso clínicoSelman A,RafaelUbilla S,MatíasEspinoza H,JuanMuñoz P,Julio Cardiomyoplasty Heart transplantation Rhabdomyosarcoma Background: Heart autotrasplantation is an exceptional surgical technique used in the treatment of uncontrolled cardiac arrhythmias and primary unresectable cardiac tumors. We report a 28-year-old male with a rhabdomyosarcoma of the left ventricle, localized in the lateral and posterior wall, which involved the mitral valve and circumflex artery. After a complete study ruling out dissemination of the tumor, the patient was operated. Surgical exploration determined the unresectabilility of the tumor with the heart in situ. Therefore, the heart was explanted, preserving the right atrium and coronary sinus for re-implantation. Fifty percent of the mitral valve and the circumflex artery from its origin, were resected due to tumor infiltration. The heart was reconstructed with bovine pericardium and a mechanical valve was implanted in the mitral position. Afterward, the heart was implanted again following the same sequence as in bicaval transplantation, followed by a double bypass grafting to the distal circumflex territory. The patient had no significant complications and after nine months of follow up, there was no evidence of local recurrence. In the fourth postoperative month, a subcutaneous mass in the left thigh that was considered a metastasis without histological confirmation appeared. The lesion disappeared with radio and chemotherapy.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.6 20122012-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000600013es10.4067/S0034-98872012000600013
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Cardiomyoplasty Heart transplantation Rhabdomyosarcoma
spellingShingle	Cardiomyoplasty Heart transplantation Rhabdomyosarcoma Selman A,Rafael Ubilla S,Matías Espinoza H,Juan Muñoz P,Julio Autotrasplante cardiaco en el tratamiento quirúrgico de tumores cardiacos primarios: Caso clínico
description	Background: Heart autotrasplantation is an exceptional surgical technique used in the treatment of uncontrolled cardiac arrhythmias and primary unresectable cardiac tumors. We report a 28-year-old male with a rhabdomyosarcoma of the left ventricle, localized in the lateral and posterior wall, which involved the mitral valve and circumflex artery. After a complete study ruling out dissemination of the tumor, the patient was operated. Surgical exploration determined the unresectabilility of the tumor with the heart in situ. Therefore, the heart was explanted, preserving the right atrium and coronary sinus for re-implantation. Fifty percent of the mitral valve and the circumflex artery from its origin, were resected due to tumor infiltration. The heart was reconstructed with bovine pericardium and a mechanical valve was implanted in the mitral position. Afterward, the heart was implanted again following the same sequence as in bicaval transplantation, followed by a double bypass grafting to the distal circumflex territory. The patient had no significant complications and after nine months of follow up, there was no evidence of local recurrence. In the fourth postoperative month, a subcutaneous mass in the left thigh that was considered a metastasis without histological confirmation appeared. The lesion disappeared with radio and chemotherapy.
author	Selman A,Rafael Ubilla S,Matías Espinoza H,Juan Muñoz P,Julio
author_facet	Selman A,Rafael Ubilla S,Matías Espinoza H,Juan Muñoz P,Julio
author_sort	Selman A,Rafael
title	Autotrasplante cardiaco en el tratamiento quirúrgico de tumores cardiacos primarios: Caso clínico
title_short	Autotrasplante cardiaco en el tratamiento quirúrgico de tumores cardiacos primarios: Caso clínico
title_full	Autotrasplante cardiaco en el tratamiento quirúrgico de tumores cardiacos primarios: Caso clínico
title_fullStr	Autotrasplante cardiaco en el tratamiento quirúrgico de tumores cardiacos primarios: Caso clínico
title_full_unstemmed	Autotrasplante cardiaco en el tratamiento quirúrgico de tumores cardiacos primarios: Caso clínico
title_sort	autotrasplante cardiaco en el tratamiento quirúrgico de tumores cardiacos primarios: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2012
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000600013
work_keys_str_mv	AT selmanarafael autotrasplantecardiacoeneltratamientoquirurgicodetumorescardiacosprimarioscasoclinico AT ubillasmatias autotrasplantecardiacoeneltratamientoquirurgicodetumorescardiacosprimarioscasoclinico AT espinozahjuan autotrasplantecardiacoeneltratamientoquirurgicodetumorescardiacosprimarioscasoclinico AT munozpjulio autotrasplantecardiacoeneltratamientoquirurgicodetumorescardiacosprimarioscasoclinico
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Autotrasplante cardiaco en el tratamiento quirúrgico de tumores cardiacos primarios: Caso clínico

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