Visualization of ventricular fibroelastoma with a video-assisted thoracoscope.
Left ventricular papillary fibroelastomas are associated with a high risk of cerebral embolization. Two-dimensional echocardiography and intraoperative transesophageal echocardiography are helpful in diagnosing tumors, planning a surgical approach, and achieving adequate excision. A video-assisted thoracoscope via the left atrium was used to visualize a left ventricular papillary fibroelastoma. Thoracoscopic visualization facilitated excision of a mass within the chordae tendineae between the anterolateral papillary muscle and the left ventricular wall. Video-assisted thoracoscopy greatly facilitates exposure/excision of deeper intracavitary left ventricular masses.
Espada
R
R
Department of Surgery, Baylor College of Medicine, Methodist Hospital, Houston, Texas 77030, USA.
Talwalker
N G
NG
Wilcox
G
G
Kleiman
N S
NS
Verani
M S
MS
D004724:Endoscopy; D005350:Fibroma / Q000175:diagnosis* / Q000601:surgery; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000601:surgery; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D010210:Papillary Muscles; D013906:Thoracoscopy; D014741:Video Recording