title: Multimodality preoperative planning and postoperative follow-up of a hybrid cardiac intervention.
abstract: We describe the case of a 59-year-old man who had aortic regurgitation and a hypoplastic aortic valve and for whom an echocardiography evaluation revealed a vascular tumor in the roof of the left atrium, which was suspected to be a hemangioma. After undergoing preoperative invasive catheter coronary angiography, echocardiography, and multislice computed tomography examinations, the patient underwent an aortic miniroot replacement. Intraoperative findings confirmed the findings of the preoperative evaluations. The tumor, although macroscopically verified as a hemangioma, was not resected because of the tumor's position and size, and the threat of uncontrollable bleeding. After an uneventful postoperative clinical course, a subsequent successful transcatheter coil occlusion of the coronary fistula from the left circumflex coronary artery was performed as an alternative to surgical resection of the tumor. This case emphasizes the future role of a multimodality hybrid approach for diagnosis, planning (different 2- and 3-dimensional imaging modalities), and treatment in the form of combining interventional (transcatheter) and surgical (open heart) techniques, which could optimize different treatment strategies. This approach could be further improved by increasing the installations of hybrid operating rooms.
authors.affiliation: Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland. andre.plass@usz.ch
authors.forename: Andre
authors.initials: A
authors.lastname: Plass
authors.forename: Tiziano
authors.initials: T
authors.lastname: Schepis
authors.forename: Hans
authors.initials: H
authors.lastname: Scheffel
authors.forename: Franz
authors.initials: F
authors.lastname: Eberli
authors.forename: Philipp
authors.initials: P
authors.lastname: Kaufmann
authors.forename: Hatem
authors.initials: H
authors.lastname: Alkadhi
authors.forename: Rene
authors.initials: R
authors.lastname: Pretre
authors.forename: Jürg
authors.initials: J
authors.lastname: Grünenfelder
mesh_terms: D001022:Aortic Valve Insufficiency / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D006391:Hemangioma / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care / Q000379:methods*; D016896:Treatment Outcome