Ameliyat edilmiş tekrar eden rektal kanser hastasında kemoterapi sırasında saptanan kardiyak miksoma

Kardiyak miksomalar benign kardiyak tümörlerin %50'den fazlasını oluşturur ve en sık rastlanan primer kardiyak tümörlerdir. Diğer primer tümörlerle eşlik etme durumu nadirdir. Bu yazıda, tekrar eden rektal kanser nedeni ile ameliyat edilen ve kolon cerrahisi sonrası üçüncü kür kemoterapi sırasında eşlik eden kardiyak miksoma ve koroner arter hastalığı tanısı konulan 57 yaşında bir erkek hasta sunuldu. Atriyal septumun Teflon yama ile onarımı ile beraber kardiyak miksoma eksizyonu ile eş zamanlı iki damar baypas uygulandı. Eşlik eden malignitesi olan hastalarda, tıbbi tedavi veya girişimsel yöntemler ile tedavi edilemeyen kardiyak patolojiler için cerrahinin zamanlaması önemlidir ve bu konu üzerinde halen bir görüş birliği yoktur.

A cardiac myxoma detected during chemotherapy in an operated recurrent rectal cancer patient

Cardiac myxomas constitute over 50% of benign cardiac tumors and are the most common primary cardiac tumors. Concomitance with other primary tumors is rare. In this article, we report a 57-year-old male patient operated for recurrent rectal cancer who was diagnosed with concomitant cardiac myxoma and coronary artery disease during the third course of chemotherapy following colon surgery. Two-vessel bypass simultaneous with cardiac myxoma excision was performed with repair of atrial septum using Teflon patch. In patients with concomitant malignancy, timing of surgery for cardiac pathologies incurable by medical treatment or interventional measures is crucial, and there is still no consensus on this subject.

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