Intraoperative trans-mitral endoscopic resection of left ventricular tumor

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi
Mikihiko KudoMotohito Nakagawa

Abstract

A successful resection of left ventricular tumor in an 82-year-old woman who had undergone coronary artery bypass grafting ten years ago is presented. In an attempt to make a procedure less invasive, we chose a trans-mitral endoscopic resection with minimum dissection because of reoperation on patient of advanced age. With the use of cardiopulmonary bypass and cardioplegic protection, the right side of left atrium was incised longitudinally. The endoscope was inserted in the ventricle via the mitral valve. A stalk of the tumor was cut by snare strangulation and the whole tumor was extracted endoscopically. The postoperative course was uneventful. To our best knowledge, this is the first report on endoscopic resection of the left ventricular tumor via a mitral valve. This method appear to be the choice in resecting the left ventricular tumor.

References

May 1, 1979·Current Problems in Cardiology·H A McAllister
Aug 1, 1990·The Thoracic and Cardiovascular Surgeon·D A Cooley
Apr 1, 1990·The Annals of Thoracic Surgery·M C MurphyD A Cooley
Sep 1, 1994·The Annals of Thoracic Surgery·R P BurkeG Wernovsky
Dec 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·J Y LiS H Chu

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Citations

Oct 17, 2009·The Heart Surgery Forum·Dimitri NovitzkyCedric Sheffield
May 27, 2017·Journal of Cardiothoracic Surgery·Erdinc SoyluThanos Athanasiou
Dec 13, 2005·Surgery Today·Takahiko MisumiHiroya Kumamaru

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