The da Vinci S surgical system combined with a custom vacuum extractor device can successfully and safely excise a giant left atrial myxoma.
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May enable minimally invasive giant atrial myxoma excision; leaves open validation in prospective series.
We report a single case of left atrial giant myxoma excision using the da Vinci S surgical system in a 47-year-old woman. A vacuum extractor device was designed to avoid tumor fragmentation or embolization. The myxoma was entirely removed under aspiration through the extractor device, achieving all the surgical tenets of myxoma excision.
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Loma et al. (2009) studied this question.
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