Thoracoscopy-assisted removal via right minithoracotomy is a feasible alternative to left ventriculotomy for left ventricular thrombus extraction, potentially avoiding compromised left ventricular function.
A left ventricular thrombus was successfully removed after broad anterior myocardial infarction in a 58-year-old woman, using video-assisted thoracoscopy via minimally invasive port access. Through a right minithoracotomy, a left ventricular thrombus behind the papillary muscles and trabeculation were completely visualized with the aid of thoracoscopy, and removed without difficulty. This approach seems to be a useful alternative to a left ventriculotomy, avoiding the resultant compromised left ventricular function.
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Kuroki et al. (2012) studied this question.
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