Key result
Transaortic video-assisted endoscopic resection successfully removes deep left ventricular papillary fibroelastoma without complications.
Why the study?
Papillary fibroelastoma is a rare benign cardiac tumor requiring surgical resection to prevent embolization, with challenges in resecting tumors anchoring deep in the left ventricle.
Case Report (n=1)
Video-assisted endoscopic resection through the aortic valve is a feasible technique for removing deep left ventricular tumors while avoiding the adverse effects of left ventriculotomy.
Single-case success suggests endoscopic resection feasibility for select LV tumors; hypothesis-generating and requires prospective validation before wider use.
Papillary fibroelastoma is a rare, benign cardiac tumor. Surgical resection is indicated to prevent embolization. We herein report a case of a 78-year-old asymptomatic man who was found to have a mobile left ventricular papillary fibroelastoma anchoring deep in the left ventricle by incidental transthoracic echocardiography. The tumor was resected under visualization by a video-assisted rigid endoscope with a flexible head inserted through the aortic valve into the left ventricle. Intraoperative frozen section analysis provided a pathological diagnosis of papillary fibroelastoma. The postoperative course was uneventful. This technique is recommended for the observation and resection of a tumor anchoring deep in the left ventricle and is helpful for avoiding the adverse effects of left ventriculotomy.
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Ishida et al. (2016) conducted a case report in Left ventricular papillary fibroelastoma (n=1). Video-assisted endoscopic resection through the aortic valve was evaluated on Successful resection and postoperative course. Video-assisted endoscopic resection through the aortic valve successfully removed a deep left ventricular papillary fibroelastoma in a 78-year-old man, resulting in an uneventful postoperative course.
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