Key result
An anterolateral minithoracotomy approach with local cryoablation provides excellent exposure and cosmetic outcomes for removing gigantic left atrial myxomas compared to median sternotomy.
Why the study?
Does an anterolateral minithoracotomy approach with cryoablation improve surgical and cosmetic outcomes in patients with gigantic left atrial myxoma compared to median sternotomy?
Case Report
Does an anterolateral minithoracotomy approach with cryoablation improve surgical and cosmetic outcomes in patients with gigantic left atrial myxoma compared to median sternotomy?
Anterolateral minithoracotomy with local cryoablation is proposed as a superior approach to median sternotomy for the removal of gigantic left atrial myxomas.
May support cosmetic considerations in select cases; leaves open need for prospective validation before practice change.
The strategy for the successful removal of gigantic myxoma of the left atrium obstructing inflow into the left ventricle is presented. We consider an anterolateral minithoracotomy approach superior to median sternotomy for complete and comfortable atrial tumour excision because of the excellent exposure and the cosmetic outcome. After removal, local cryodestruction of potential remnant cells is mandatory to prevent recurrency.
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Mandryk et al. (2018) conducted a case report in Gigantic myxoma of the left atrium. Anterolateral minithoracotomy and local cryoablation vs. Median sternotomy was evaluated on Tumour excision and recurrence prevention. An anterolateral minithoracotomy approach with local cryoablation provides excellent exposure and cosmetic outcomes for removing gigantic left atrial myxomas compared to median sternotomy.
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