Three-dimensional printing facilitates surgical planning for resection of an atypical cardiac myxoma

J Card Surg. 2020 Oct;35(10):2863-2865. doi: 10.1111/jocs.14896. Epub 2020 Jul 27.

Abstract

Background: Cardiac myxomas are common and account for 50% of primary intracardiac tumors. Atypical locations of cardiac myxoma increase the risk of intraoperative iatrogenic injuries. Herein, we report a case of using three-dimensional printing (3D) to facilitate the removal of an atypical cardiac myxoma in a 63-year-old woman.

Methods and results: Mass in the high posterior atrial septum was confirmed through imaging. Due to the potential involvement of the mass to surrounding vital structures, 3D printing of the cardiac mass was performed. The tumor was completely resected via median sternotomy and the resulting defect was repaired with the bovine pericardium. The patient had an uncomplicated postoperative course except for the development of sick sinus syndrome. One-year follow-up showed no tumor recurrent.

Conclusion: 3D printing technology in patients with atypical cardiac tumors enhances our understanding of the extent of the tumor invasion and facilitates planning the operation to avoid intraoperative complications.

Keywords: 3D printing; heart tumors; myxoma.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Bioprosthesis
  • Cardiac Surgical Procedures / methods*
  • Cattle
  • Female
  • Heart Atria / diagnostic imaging
  • Heart Atria / pathology
  • Heart Atria / surgery
  • Heart Neoplasms / diagnostic imaging*
  • Heart Neoplasms / pathology
  • Heart Neoplasms / surgery*
  • Heart Septum / diagnostic imaging
  • Heart Septum / surgery
  • Humans
  • Iatrogenic Disease / prevention & control*
  • Intraoperative Complications / prevention & control*
  • Middle Aged
  • Models, Anatomic*
  • Myxoma / diagnostic imaging*
  • Myxoma / pathology
  • Myxoma / surgery*
  • Neoplasm Invasiveness
  • Pericardium / transplantation
  • Printing, Three-Dimensional*
  • Sternotomy / methods
  • Tomography, X-Ray Computed
  • Treatment Outcome

Supplementary concepts

  • Atrial myxoma, familial