Video-assisted thoracoscopy via a right mini-thoracotomy offers a less invasive approach for left ventricular thrombectomy, avoiding the complications associated with sternotomy and ventriculotomy.
May offer a less invasive LV thrombectomy option in select cases; hypothesis-generating and should not yet change practice.
We report a case of a 40-year-old male who had a left ventricular thrombus with impaired cardiac function. The thrombus was completely removed using a video-assisted thoracoscopy via a right mini-thoracotomy. This approach is less invasive, avoiding sternotomy and ventriculotomy which can cause postoperative complications.
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Tanaka et al. (2013) studied this question.
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