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 Citations (Scopus)

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

Fingerprint

Myxoma
Heart Ventricles
Video-Assisted Thoracic Surgery
Sternotomy
Recurrence

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

Transaortic video-assisted resection of a recurrent left ventricular myxoma. / Schroeder, Carsten; Leukhardt, William H.; Hsiao, Edward M C; Farah, Michel G.; Markowitz, Alan H.

In: Annals of Thoracic Surgery, Vol. 95, No. 1, 01.01.2013, p. 340-342.

Research output: Contribution to journalArticle

Schroeder, C, Leukhardt, WH, Hsiao, EMC, Farah, MG & Markowitz, AH 2013, 'Transaortic video-assisted resection of a recurrent left ventricular myxoma', Annals of Thoracic Surgery, vol. 95, no. 1, pp. 340-342. https://doi.org/10.1016/j.athoracsur.2012.04.144
Schroeder, Carsten ; Leukhardt, William H. ; Hsiao, Edward M C ; Farah, Michel G. ; Markowitz, Alan H. / Transaortic video-assisted resection of a recurrent left ventricular myxoma. In: Annals of Thoracic Surgery. 2013 ; Vol. 95, No. 1. pp. 340-342.
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