Why the study?
Median sternotomy with central cannulation remains the standard approach for cardiac myxoma resection, though isolated reports have used video-assisted thoracotomy on the arrested heart.
Demonstrates the feasibility of a totally thoracoscopic approach on a fibrillating heart for the resection of a left atrial myxoma in a morbidly obese patient.
May offer alternative for myxoma resection in obese patients; leaves open validation in prospective trials.
Cardiac myxomas are the most common form of primary cardiac neoplasms. Although benign, they can be deleterious by causing embolic events and intracardiac obstruction. After complete surgical resection, the prognosis is excellent. Although isolated case reports performing video-assisted thoracotomy on the arrested heart have been published, median sternotomy with central cannulation remains the standard approach. We herein describe the case of a morbidly obese patient undergoing successful total resection of a left atrial myxoma using a completely thoracoscopic approach on the fibrillating heart.
No takes yet. Share an insight, caveat, or question.
Kronenberger et al. (2023) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: