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Peter Chiu, MD, Amanda Edmonson, MS, Zachary E. Brewer, MD, Y

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Presentation on theme: "Peter Chiu, MD, Amanda Edmonson, MS, Zachary E. Brewer, MD, Y"— Presentation transcript:

1 Resection of a Giant Cardiac Lymphovenous Malformation Involving the Right Atrioventricular Groove 
Peter Chiu, MD, Amanda Edmonson, MS, Zachary E. Brewer, MD, Y. Joseph Woo, MD  The Annals of Thoracic Surgery  Volume 104, Issue 3, Pages e257-e259 (September 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Cardiac magnetic resonance demonstrated extreme compression of the right atrium and right ventricle with deformation of the atrioventricular groove in both (A) the axial images and (B) the coronal images. Given the apparent involvement of the right coronary artery, coronary angiogram was performed, (C) demonstrating feeding vessels arising from the right coronary artery. The Annals of Thoracic Surgery  , e257-e259DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Intraoperative photographs demonstrating (A) involvement of the right ventricle and the inability to separate the mass from the tricuspid valve, (B) radical resection with patch reconstruction of the right atrium and implantation of a bioprosthetic valve in the tricuspid position, and (C) completed atrioventricular reconstruction using 2 separate bovine pericardial patches with concomitant revascularization of a large acute marginal and the distal right coronary artery. The right coronary artery is clearly encased in the tumor (D); the mass measured 12.0 × 6.5 × 5.0 cm and weighed 498 g. The Annals of Thoracic Surgery  , e257-e259DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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