Japanese Journal of Cardiovascular Surgery
Online ISSN : 1883-4108
Print ISSN : 0285-1474
ISSN-L : 0285-1474
Case Reports [Acquired Cardiovascular Surgery]
Cardiac Surgery through Upper Hemi Sternotomy and Pulmonary Trunk Incision for Calcified Amorphous Tumor in Right Ventricular Outflow Tract
Kazunori KoyamaSatoru NishidaShintaro Takago
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2023 Volume 52 Issue 6 Pages 431-433

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Abstract

A 35-year-old man was followed up for systemic lupus erythematous with antiphospholipid antibody-positive. He underwent an echocardiogram for a closer examination of his heart murmur. Transthoracic echocardiography revealed a calcified mass of 30 mm in diameter in the right ventricular outflow tract. Surgery was performed through an upper hemi-sternotomy. After establishment of beating-heart cardiopulmonary bypass, the pulmonary trunk was opened with a longitudinal incision. The highly calcified mass was located immediately below the pulmonary valve. We exfoliated the mass from the right ventricle, and resected it en bloc during short-term cardiac arrest. The postoperative pathological diagnosis was a calcified amorphous tumor. The patient was discharged from our hospital on postoperative day 12.No tumor recurrence was observed 9 months after the surgery.

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© 2023 The Japanese Society for Cardiovascular Surgery
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