title: Surgical excision of a giant calcified amorphous tumour of the right ventricle and right pulmonary artery.
abstract: A cardiac calcified amorphous tumour (CCAT) is a rare non-neoplastic intracavitary mass with unknown causes. We describe a 32-year old male presenting with progressive dyspnoea, cough and oedemas. The transthoracic echocardiography and contrast-enhanced angio-computed tomography demonstrated a 4 × 10 cm calcified mass into the right ventricle and total occlusion of the right pulmonary artery. The patient underwent successful total removal of the mass through a transverse right ventriculotomy, and right pulmonary embolectomy. Histopathological examination of mass confirmed the diagnosis of a CCAT. The postoperative course was uneventful. To our knowledge, this is the first reported case with a confirmed diagnosis of CCAT at two different locations and the third undergoing a combined approach aiming at total mass excision.
authors.affiliation: Division of Cardiac Surgery, University Hospital Center of Tirana, Tirana, Albania edvinprifti@hotmail.com.
authors.forename: Edvin
authors.initials: E
authors.lastname: Prifti
authors.affiliation: Division of Cardiac Surgery, University Hospital Center of Tirana, Tirana, Albania.
authors.forename: Efrosina
authors.initials: E
authors.lastname: Kajo
authors.affiliation: Division of Cardiac Surgery, University Hospital Center of Tirana, Tirana, Albania.
authors.forename: Klodian
authors.initials: K
authors.lastname: Krakulli
authors.affiliation: Division of Cardiac Surgery, University Hospital Center of Tirana, Tirana, Albania.
authors.forename: Majlinda
authors.initials: M
authors.lastname: Ikonomi
mesh_terms: D000328:Adult; D002114:Calcinosis / Q000473:pathology / Q000601:surgery*; D006331:Heart Diseases / Q000473:pathology / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male; D011651:Pulmonary Artery / Q000601:surgery*; D013927:Thrombosis / Q000473:pathology / Q000601:surgery*
keywords: Cardiac calcified amorphous tumour; Pulmonary embolism; Pulmonary endarterectomy