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Extracellular matrix for reconstruction of cardiac structures after tumour resections.
- Source :
-
Interactive cardiovascular and thoracic surgery [Interact Cardiovasc Thorac Surg] 2015 Jan; Vol. 20 (1), pp. 10-4. Date of Electronic Publication: 2014 Sep 17. - Publication Year :
- 2015
-
Abstract
- Objectives: To describe the use of a new extracellular matrix patch as a means for atrial reconstruction in patients with cardiac tumours.<br />Methods: A new extracellular matrix patch was used to reconstruct atrial and neighbouring structures after tumour resections. In 1 case, it was used to reconstruct the atrial septum and the left atrial roof after excision of a huge myxoma. In a second case, it was used to reconstruct the right atrium, including the superior vena cava after excision of a primary cardiac sarcoma. In a third case, it was used to reconstruct both atria, the right-sided pulmonary venous confluence and the roof of the coronary sinus after excision of a metastasis of malignant melanoma.<br />Results: In all cases, reconstruction was successful and facilitated because of the flexible and thin character of the extracellular matrix, which also seemed to be advantageous with regards to haemostasis.<br />Conclusions: Extracellular matrix patches are a potential alternative for pericardial patches for complex reconstructions of atrial structures because of their pliable characteristics and consecutively reduced need for haemostatic stitches.<br /> (© The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.)
- Subjects :
- Aged
Coronary Sinus pathology
Coronary Sinus surgery
Echocardiography, Transesophageal
Female
Heart Atria pathology
Heart Atria surgery
Heart Neoplasms pathology
Heart Neoplasms secondary
Humans
Magnetic Resonance Imaging
Male
Melanoma secondary
Middle Aged
Myxoma pathology
Neoplasm Invasiveness
Sarcoma pathology
Skin Neoplasms pathology
Treatment Outcome
Tumor Burden
Vena Cava, Superior pathology
Vena Cava, Superior surgery
Cardiac Surgical Procedures methods
Extracellular Matrix transplantation
Heart Neoplasms surgery
Melanoma surgery
Myxoma surgery
Plastic Surgery Procedures methods
Sarcoma surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1569-9285
- Volume :
- 20
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Interactive cardiovascular and thoracic surgery
- Publication Type :
- Academic Journal
- Accession number :
- 25232129
- Full Text :
- https://doi.org/10.1093/icvts/ivu310