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Ansar Hassan
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Right arrow Minimally invasive surgery

J Thorac Cardiovasc Surg 2009;138:510-512
© 2009 The American Association for Thoracic Surgery

Brief Technique Report

Minimally invasive transaortic thoracoscopic resection of an apical left ventricular myxoma

Paul Modi, FRCS, Ansar Hassan, MD, PhD, W. Randolph Chitwood, Jr., MD*

East Carolina Heart Institute, East Carolina University, Greenville, NC

Received for publication March 21, 2008; accepted for publication April 13, 2008.

* Address for reprints: W. Randolph Chitwood, Jr, MD, East Carolina Heart Institute, East Carolina University, Pitt County Memorial Hospital, 600 Moye Blvd, Greenville, NC, 27834. (Email: chitwoodw@ecu.edu).

The first 20% of the full text of this article appears below.


   Introduction
 
Minimally invasive cardiac valvular surgery is associated with decreased pain, reduced blood loss, faster recovery, superior cosmetic results, and greater patient satisfaction when compared with sternotomy approaches. Despite this, these techniques have rarely been used for intracardiac tumor resections, which have traditionally been performed through a median sternotomy. Tumors situated in the left ventricular apex represent a surgical challenge because it is a difficult area to access without a left ventriculotomy and its attendant complications. A recent report in the Journal describes the use of a thoracoscopic transaortic approach to resect a left ventricular fibroelastoma through a median sternotomy.1Go To combine a thoracoscopic instrument with a median sternotomy seems paradoxical, and therefore we describe a truly minimally invasive approach to an apical left ventricular myxoma that we have used involving a thoracoscopic approach combined with a right anterior minithoracotomy.


   Clinical Summary
 
A 65-year-old asymptomatic man, while undergoing echocardiographic work-up for a cardiac murmur, was discovered to have a 12-mm x 9-mm tumor at the junction of . . . [Full Text of this Article]






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