Ali Baran BUDAK, Halil HÜZMELİ, Enis OĞUZ, Ahmet ÖZKARA

Atrial Kitleyi Taklit Eden Spontan İntramural Sol Atrial Hematomun Robot-Asiste Tedavisi

Primer veya metastatik kalp tümörünü taklit eden spontan intramural sol atriyal hematom çok nadir bir antitedir. Uzun süreli göğüs ağrısı ve halsizlik şikayeti ile başvuran 60 yaşında kronik miyeloid lösemi hastası bir erkek hastayı sunuyoruz. Transtorasik ekokardiyografide sol atriyumda posterior mitral anulusa yakın bir kitle saptandı ve etyolojik tanı konulamadı. Atriyal neoplazmı ekarte etmek, kitle obstrüksiyonunu ve mitral kapak yetmezliğini önlemek için cerrahi tedavi uygulandı. Bu, literatürde robot yardımlı minimal invaziv cerrahinin bu kadar nadir görülen bir durumu yönetmek için kullanıldığı ilk vakadır.

Anahtar Kelimeler:

intramural sol atrial hematom, robot asiste cerrahi, minimal invazif cerrahi, intramural left atrial hematoma, robot-assisted surgery, minimally invasive surgery

Robot-Assisted Management of Spontaneous Intramural Left Atrial Hematoma Mimicking an Atrial Mass

Spontaneous Intramural left atrial hematoma that mimics a primary or metastatic cardiac tumor is a very rare entity. We report a case of a 60-year-old man suffering from chronic myeloid leukemia, who was admitted for prolonged chest pain and fatigue. Transthoracic echocardiography revealed a left atrial mass in close proximity to the posterior mitral annulus and failed to provide an ethiological diagnosis. Surgical management was utilized to outrule the atrial neoplasm and to prevent emboli, obstruction and mitral valve insufficiency. This is the first case in the literature in which robot-assisted minimally invasive surgery was adopted to manage such a rare entity.

Keywords:

intramural left atrial hematoma, robot-assisted surgery, minimally invasive surgery,

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