Advanced multimodality imaging and 3D printing can effectively guide the robotic surgical excision of complex, atypical cardiac myxomas.
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May support robotic excision planning for atypical myxomas via 3D imaging; hypothesis-generating and leaves open need for larger validation.
A 73-year-old woman presented to the emergency department with a syncopal episode and a history of dizzy spells. A transthoracic echocardiogram demonstrated a large left atrial mass extending into the right upper pulmonary veins. Subsequently, cardiac magnetic resonance imaging and coronary computed tomography angiography with three-dimensional reconstruction and printing of the heart and mass were performed, which demonstrated a high index of suspicion for an atypical left atrial myxoma. The mass was excised robotically, and the pathology report confirmed a diagnosis of myxoma.
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Akiki et al. (2024) studied this question.
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