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Xu K, Ma Z, Li B, Wang Z, Song H, Bai X, Meng X, Liu K, Zhao X. Totally thoracoscopic surgical resection of left ventricular benign tumor. JTCVS Tech 2023; 20:116-122. [PMID: 37555023 PMCID: PMC10405254 DOI: 10.1016/j.xjtc.2023.04.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 04/19/2023] [Accepted: 04/20/2023] [Indexed: 08/10/2023] Open
Abstract
OBJECTIVE The study objective was to explore the feasibility and safety of totally endoscopic resection of a left ventricular tumor through small chest incisions without robotic assistance. METHODS Four patients with a left ventricular tumor (1 papillary fibroelastoma, 1 lipoma, and 2 myxomas) underwent surgery with peripheral cardiopulmonary bypass. The mean age of patients was 58 ± 15 years. There were 3 female patients and 1 male patient. Through 3-port incisions in the right chest, pericardiotomy, bicaval cannulation, cardiac arrest, and atriotomy, left ventricular tumor resection was performed under thoracoscopy. RESULTS All patients had successful resections. The cardiopulmonary bypass and aortic crossclamp times were 110 ± 14 minutes and 58 ± 19 minutes, respectively. The length of stay in the intensive care unit was 38 ± 27 hours. There were no mortalities or complications in this cohort. Patients were discharged 7 days after the operation. Transthoracic echocardiography showed that the cardiac tumor was completely removed without any residue 3 months after surgery. CONCLUSIONS Totally endoscopic left ventricular tumor resection without a robotically assisted surgical system is feasible and reproducible. This technique could minimize surgical trauma and achieves complete tumor resection.
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Affiliation(s)
- Kai Xu
- Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China
- Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, China
| | - Zengshan Ma
- Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China
- Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, China
| | - Bowen Li
- Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China
- Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, China
| | - Zhenhua Wang
- Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China
- Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, China
| | - Han Song
- Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China
- Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, China
| | - Xiao Bai
- Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China
- Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, China
| | - Xiangbin Meng
- Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China
- Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, China
| | - Kai Liu
- Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China
- Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, China
| | - Xin Zhao
- Department of Cardiovascular Surgery, Qilu Hospital of Shandong University, Shandong, China
- Institute of Thoracoscopy in Cardiac Surgery, Shandong University, Shandong, China
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Nam DH, Lee J, Kim H, Heo R. A Case of Rapidly Growing Cardiac Myxoma Within a Year Causing Heart Failure. J Cardiovasc Imaging 2023; 31:65-67. [PMID: 36693348 PMCID: PMC9880347 DOI: 10.4250/jcvi.2022.0034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 06/14/2022] [Accepted: 06/26/2022] [Indexed: 01/26/2023] Open
Affiliation(s)
- Dong-Hyun Nam
- Division of Cardiology, Department of Internal Medicine, Hanyang University Medical Center, Seoul, Korea
| | - Jaewon Lee
- Division of Cardiology, Department of Internal Medicine, Hanyang University Medical Center, Seoul, Korea
| | - Hyuck Kim
- Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University, Seoul, Korea
| | - Ran Heo
- Division of Cardiology, Department of Internal Medicine, Hanyang University Medical Center, Seoul, Korea.,Division of Cardiology, Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea
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Kong LY, Cui XZ, Xiang W, Chen LL, Li L, Liu F. Case Report: Two Myxomas of Different Echodensities on Transthoracic Echocardiography in One Patient. Front Cardiovasc Med 2022; 8:770228. [PMID: 35127850 PMCID: PMC8810647 DOI: 10.3389/fcvm.2021.770228] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Accepted: 12/13/2021] [Indexed: 11/21/2022] Open
Abstract
We report a rare case of coincidental left atrial and right ventricular myxomas manifesting as masses with different echodensities on transthoracic echocardiography. This patient had a history of left atrial myxoma, left intra-left internal carotid artery myxoma, and facial cutaneous myxoma 3 years prior to admission. A Carney complex was suspected, and the patient subsequently tested positive for PRKAR1A mutations. The patient was followed up regularly by a biannual echocardiography, which was free from abnormalities until the date of admission. A repeat transthoracic echocardiography revealed a massive left atrial mass of solid echodensity, and a minute hypoechoic entity in the right ventricular outflow tract. Both masses were confirmed for existence by an enhanced cardiac CT. Chest CT also revealed multiple pulmonary emboli. Successful surgical repair was performed revealing that both masses were hemorrhagic nipple-like lesions and that the pulmonary emboli were myxomatous in nature. Postoperative recovery was uneventful. Postoperative echocardiography showed a clear heart chamber, and the 1-year follow-up showed no abnormalities. Further research is needed to clarify the echocardiographic characteristics of multiple myxomas when they occurred simultaneously in different chambers.
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Affiliation(s)
- Ling-Yun Kong
- Department of Cardiology, School of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China
| | - Xiao-Zheng Cui
- Department of Cardiovascular Surgery, School of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China
| | - Wei Xiang
- Department of Cardiology, School of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China
| | - Ling-Ling Chen
- Department of Cardiology, School of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China
| | - Li Li
- Department of Pathology, School of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China
| | - Fang Liu
- Department of Cardiology, School of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua University, Beijing, China
- *Correspondence: Fang Liu
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