Key result
Beating-heart right mini-thoracotomy enables successful resection of high-risk right atrial fibroelastoma.
Why the study?
Papillary fibroelastomas typically require surgical resection via median sternotomy with cardioplegic arrest and aortic cross-clamping, but alternative minimally invasive approaches are not well described in high-risk patients.
Case Report (n=1)
Demonstrates the feasibility of a minimally invasive, beating-heart approach via right mini-thoracotomy for the resection of a right atrial papillary fibroelastoma in a high-risk surgical patient.
May support feasibility in select high-risk cases; hypothesis-generating and requires prospective validation before wider use.
Papillary fibroelastomas are rare, benign cardiac tumors that typically mandate surgical resection. These are usually approached through a median sternotomy with cardioplegic arrest and aortic cross-clamping. We describe the minimally invasive resection of a right atrial fibroelastoma performed on a beating heart via right mini-thoracotomy in a patient complicated by a previous laryngectomy, radiation therapy, and a left-sided pulmonary malignancy.
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Kim et al. (2007) conducted a case report in Right atrial papillary fibroelastoma (n=1). Minimally invasive resection via right mini-thoracotomy on a beating heart was evaluated. Minimally invasive resection of a right atrial fibroelastoma was successfully performed on a beating heart via right mini-thoracotomy in a high-risk patient.
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