Mechanical Valved Conduit Replacement of Aortic Valve and Aortic Root (Bentall Procedure) with Excision of Left Ventricular Mass in the Setting of Factor V Leiden Heterozygosity

Abstract

Cardiac tumors are rare and often diagnostically challenging to identify and treat. The diagnosis of cardiac tumors (primary or secondary) is largely based on a constellation of findings, including patient history, symptomatology, clinical index of suspicion, early diagnostic testing, and thorough examination. Here, we present a case of a 46-year-old patient who underwent a mechanical valved conduit replacement of the aortic valve and dilated aortic root (Bentall procedure), as well as the excision of a recently diagnosed 1.1 cm left ventricular mass. The utilization of intraoperative TEE by cardiac anesthesiology proved to be essential in this surgery and is for any case involving cardiac tumor excision for both dynamic surgical guidance and real-time hemodynamic monitoring of the patient.