Heart Vessels and Transplantation (Nov 2023)
Simultaneous surgery in combination of double myxoma of the right atrium and coronary heart disease
Abstract
Objective: Cardiac tumors are rare pathology, and myxoma is the most frequently encountered. Co-existence of double myxoma or right heart and coronary artery disease is a rare condition. The aim of our case report is to demonstrate a case with successful simultaneous surgical removal of myxoma and CABG in a patient with double myxoma of right heart and severe mutlivessel coronary artery disease, concomitant type 2 diabetes and heart failure. Case presentation: A 68-year-old patient was admitted with typical complaints of severe shortness of breath, palpitations, lack of air, pain in the heart, weakness. From the anamnesis, it was revealed that the above complaints appeared over the past 4 years, he had also diabetes. Patients had NYHA functional class III-IV. Echocardiography revealed a large mobile mass in the cavity of the right atrium and right ventricle, periodically obturating the right atrioventricular orifice. Coronary angiography displayed mutlivessel coronary artery disease. We performed the simultaneous operation of double myxoma removal and coronary bypass surgery – arterial graft – left internal mammary artery to left anterior descending artery and venous graft from aorta to posterior descending artery under cardiopulmonary bypass. The surgery was successful and without complication The patient was transferred from intensive care unit to ward on the 4th day after surgery and was discharged on the 10th day. Conclusion: Our case confirms the possibility of successful surgical treatment of several severe pathologies of the cardiovascular system as double myxoma removal and coronary bypass surgery, with the right choice of surgical tactics and well-coordinated work of a team of cardiac surgeons, cardiac anesthesiologists, perfusionists, cardiologists, and reanimatologists
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