Transaortic video-assisted resection of a recurrent left ventricular myxoma

Carsten Schroeder, William H. Leukhardt, Edward M C Hsiao, Michel G. Farah, Alan H. Markowitz

Research output: Contribution to journalArticle

3 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)340-342
Number of pages3
JournalAnnals of Thoracic Surgery
Volume95
Issue number1
DOIs
StatePublished - Jan 1 2013
Externally publishedYes

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

Cite this

Schroeder, C., Leukhardt, W. H., Hsiao, E. M. C., Farah, M. G., & Markowitz, A. H. (2013). Transaortic video-assisted resection of a recurrent left ventricular myxoma. Annals of Thoracic Surgery, 95(1), 340-342. https://doi.org/10.1016/j.athoracsur.2012.04.144