Transaortic video-assisted resection of a recurrent left ventricular myxoma.

Abstract

An asymptomatic 57-year-old woman presented for resection of a fifth cardiac myxoma. To avoid complete redissection of the heart, we proposed a video-assisted transaortic approach for a recurrent left ventricle (LV) myxoma resection. In a hybrid approach, sternotomy and open aortotomy provided the minimally invasive transaortic access to the myxoma. The myxoma was discovered during a routine echocardiographic screening. A 30° 5-mm scope, video-assisted thoracic surgery graspers, and endoshears were used for resection. The video-assisted technique significantly enhanced the intracardiac visualization, and a smaller, second myxoma was discovered after resection of the primary lesion. Both myxoma beds were additionally ablated to prevent recurrence. The total video-assisted operating time was 58 minutes. The transaortic valve approach avoided an atriotomy or ventriculotomy in a fifth redo operation. A transaortic valve approach to LV intracardiac lesions is safe and feasible, and it provides excellent visibility for complex cardiac cases.

• Authors: Carsten Schröder, William H Leukhardt, Edward M C Hsiao, Michel G Farah, Alan H Markowitz
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 95 Issue 1 Pg. 340-2 (Jan 2013) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 23272857 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Topics

• Cardiac Surgical Procedures (methods)
• Diagnosis, Differential
• Echocardiography, Transesophageal
• Female
• Heart Neoplasms (diagnosis, surgery)
• Heart Ventricles
• Humans
• Middle Aged
• Myxoma (diagnosis, surgery)
• Neoplasm Recurrence, Local (diagnosis, surgery)
• Thoracic Surgery, Video-Assisted (methods)
• Tomography, X-Ray Computed