Key result
Complete thoracoscopic resection of a left ventricular myxoma was performed, detailing the surgical process and perioperative imaging and pathological features.
Why the study?
Left ventricular myxomas are rare and typically resected via traditional median thoracotomy, making complete video-assisted thoracoscopic resection with femoral cardiopulmonary bypass exceptionally uncommon.
Case Report (n=1)
This case report demonstrates the feasibility of using a completely thoracoscopic approach with peripheral cardiopulmonary bypass for the resection of rare left ventricular myxomas.
Answers are grounded in this paper and cite their sources.
May offer minimally invasive option in select LV myxoma cases; leaves open need for comparative safety data.
Cardiac myxoma is a common cardiac tumor. Most are found in the left cardiac system, of which 75% of myxomas are located in the left atrium [Pinede 2001], and the origin of the left ventricle is relatively rare. Surgical resection is the most effective method for the treatment of myxoma, but because of the complex anatomy of the left ventricle, most of the reported cases are performed through the traditional median thoracotomy through the ascending aorta and vena cava to establish cardiopulmonary bypass. It is rare to establish cardiopulmonary bypass through the femoral artery and femoral vein to remove left ventricular myxoma under complete video-assisted thoracoscopy. This paper reports the surgical process and perioperative echocardiographic, magnetic resonance, radiological and pathological features of a completely thoracoscopic resection of left ventricular myxoma.
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Li et al. (2022) conducted a case report in Left ventricular myxoma (n=1). Complete thoracoscopic resection was evaluated on Surgical process and perioperative features. Complete thoracoscopic resection of a left ventricular myxoma was performed, detailing the surgical process and perioperative imaging and pathological features.
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