Video-assisted resection can be a safe and effective approach for removing deep left ventricular masses such as papillary fibroelastomas.
Hypothesis-generating for video-assisted resection of select LV masses; larger series needed before broader adoption.
We report a rare case of a papillary fibroelastoma (PFE) in the apex of the left ventricle.An 81-year-old woman with nonspecific symptoms was shown to have a mobile mass deep in the left ventricle. With videoscopic assistance, removal of the mass was accomplished through the mitral valve via a midline sternotomy under cardiopulmonary bypass. The tumor arose from a miniature tendinous chord in the apex, and histological examination revealed PFE. Videoscopy facilitated safe and effective removal of the lesion in this case.
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Ariyoshi et al. (2013) studied this question.
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