Mobilization of the anterior mitral leaflet for excision of a left ventricular myxoma.
Left ventricular myxomas are extremely rare. We report use of a left atrial approach with mobilization of the anterior mitral valve leaflet to enhance exposure of the subvalvar region and facilitate excision of a left ventricular myxoma entangled within the chordal apparatus, lying between the anterolateral papillary muscle and the left ventricular wall. The detached mitral leaflet was reattached to the annulus with a continuous suture. The tumor was completely excised, thus avoiding a separate transventricular or transaortic approach.
Talwalkar
N G
NG
Department of Cardiothoracic Surgery, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston 77030, USA.
Livesay
J J
JJ
Treistman
B
B
Lacle
C E
CE
D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D008875:Middle Aged; D009232:Myxoma / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography