Key result
Robotic-assisted surgery with 3D TEE guidance successfully resects mitral valve papillary fibroelastoma.
Why the study?
Cardiac papillary fibroelastoma is a rare benign tumor with embolization risk, and 3D TEE may improve surgical planning and management.
Case Report (n=1)
Three-dimensional transesophageal echocardiography (3D TEE) can effectively characterize cardiac papillary fibroelastomas and assist in the intraoperative planning and management of robotic-assisted surgical resection.
Hypothesis-generating for robotic 3D TEE-guided resection; leaves open generalizability and need for comparative trials before adoption.
Heart neoplasms are classified as primary or secondary, with primary tumors considered rare.Cardiac papillary fibroelastoma is the second most common benign cardiac tumor.It has distinct morphological features and carries a potential risk of embolization; therefore, surgical excision is generally recommended.The use of three-dimensional transesophageal echocardiography (3D TEE) enables improved characterization of the suspected lesion, provides a detailed anatomical assessment, and assists in intraoperative planning and management.We report the case of a patient diagnosed with a cardiac papillary fibroelastoma of the mitral valve who underwentrobotic-assisted surgery guided by 3D TEE.
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Sakamoto et al. (2026) conducted a case report in Cardiac papillary fibroelastoma of the mitral valve (n=1). Robotic-assisted surgery guided by 3D transesophageal echocardiography was evaluated. Robotic-assisted surgery guided by 3D transesophageal echocardiography was used to successfully resect a cardiac papillary fibroelastoma of the mitral valve in a single patient.
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