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The 17-year-old girl with a very rare malignant tumor in her heart was saved by autologous heart transplantation surgery, which means removing the heart, cutting out the tumor, and then re-transplanting the heart.
Specialist 2 Nguyen Thai An, Head of Resuscitation – Department of Heart Surgery at Cho Ray Hospital, said the patient was hospitalized due to an abnormal tumor on his left thigh. The results of the diagnostic images by CT detected a head tumor in the left femur of two cm, the limit is unknown, breaking the anterior femoral carapace. The patient underwent surgery to remove the left femoral tumor, which showed that it was a poorly differentiated smooth muscle sarcoma.
The patient also suffered a stroke. When the doctor treated the catastrophe with echocardiography, it was found that a tumor filled the atrium of the heart. The following days after moving to Cho Ray Hospital, the patient had episodes of fatigue and shortness of breath.
According to Dr. An, from the beginning, with experience in the treatment, the doctors suspected that it was a malignant tumor. Therefore, patients are indicated for additional specific diagnoses such as chest CT, cardiac MRI, PET-CT. Doctors identified this as a primary malignant tumor in the heart. At this time, the invasive mass spreads to the surrounding organs, passing large through the orifice of the mitral valve, causing mitral stenosis, more serious, hemodynamic disorder.
The patient’s condition was assessed as extremely dangerous, requiring immediate surgery and radical removal of the tumor in the left atrium. In addition to the risk of death from cancer, patients can also die from hemodynamic disorders.
“If the surgery is abandoned, the patient’s lifespan is one month,” Dr. An emphasized.
Dr. An examined and shook hands to encourage the patient before she was discharged from the hospital. Picture: Hospital provided.
Heart tumors are a rare type of tumor. In which, malignant cardiac tumors represent a very small proportion and usually sarcoma in the heart. The probability of becoming infected is one to 30 people per 100,000 people. These data were obtained by conducting investigations on corpses. Surgical malignant heart tumor is also rare, even the world’s leading heart centers operate on average one case a year.
To remove this tumor, the literature noted that surgery is required using an autologous heart transplant, which means that the surgeon will remove the heart from the body, resolve the tumor, and then suture it. However, considering the possible postoperative harm to the patient, Dr. An and his colleagues in the Department of Cardiac Surgery and Resuscitation decided that they would continue to perform an autologous heart transplant, but with improvement.
Specifically, clinicians use newly available special channels (conduits) to perform minimal cardiac invasions. Instead of cutting all the blood vessels connected to the heart, to remove the heart, the surgeon only needs to remove and remove a portion of the blood vessels from the heart. The heart is turned upside down, directing the left atrium with the entire tumor outward, and then the entire tumor is removed. The surgeon then reconstructs most of the left atrium with an artificial pericardium, sutures the severed blood vessels, and closes the wound.
The patient was extubated 8 hours after surgery. Successful surgery.
Currently, the patient is healthy, has stable performance, can function normally, and is expected to be discharged in the next few days. Dr. An said that the next step, the patient will receive chemotherapy and radiation therapy for the areas that have already metastasized. He hopes that with the doctor’s best efforts, the patient will live longer.
Visiting the patient before leaving the hospital, Dr. An clapped the young woman on the shoulder to encourage her: “I just had major surgery, but the treatment process is long. Come on, I hope everything be fine. “
Letter Anh
