This Article Full Text Full Text (PDF) On-line Video Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Yukihiro Kaneko Jotaro Kobayashi Minoru Ono Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kaneko, Y. Articles by Ono, M. Search for Related Content PubMed PubMed Citation Articles by Kaneko, Y. Articles by Ono, M. Related Collections Cardiac - other Minimally invasive surgery

Thoracoscopic removal of a papillary fibroelastoma in the left ventricular apex

^a Departments of Cardiovascular Surgery, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo 150-8935, Japan
^b Department of Cardiac Surgery, University of Tokyo, 4-1-22 Hiroo, Shibuya-ku, Tokyo 150-8935, Japan

*Corresponding author. Tel.: +81-3-3400-1311; fax: +81-3-3409-1604.

E-mail address: yukihirokaneko{at}hotmail.com (Y. Kaneko).

Primary cardiac tumors located deep in the left ventricle present a surgical challenge. A mobile tumor located in the left ventricular apex was incidentally discovered on echocardiography in an 81-year-old female. The tumor was removed using a combined sternotomy and chest-port approach assisted by thoracoscopy. The use of an endoscopic sucker, instead of an endoscopic grasper, to retract the tumor helped keep the removal of the tumor en bloc uncomplicated. Detailed preoperative information about tumor location, size, and attachment to the endocardium facilitated the planning of the surgical approach and the instrumentation needed, which led to the successful removal of the deeply located left ventricular tumor. The surgical approach and instrumentation of previous case reports are reviewed.

Key Words: Heart neoplasm; Cardiac surgical procedure; Thoracoscopes; Papillary fibroelastoma

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				C. Yerebakan, A. Liebold, G. Steinhoff, and C. A. Skrabal Papillary Fibroelastoma of the Aortic Wall With Partial Occlusion of the Right Coronary Ostium. Ann. Thorac. Surg., June 1, 2009; 87(6): 1953 - 1954. [Abstract] [Full Text] [PDF]