title: Video-assisted Port-Access surgery for radical myxoma resection.
abstract: The curative treatment of choice for myxomas is surgical removal. Most of the patients are young and active and are focused on postoperative comfort, cosmesis and a fast track to complete rehabilitation, all of which is related to the degree of invasiveness of the intervention. We report our first experience with video-assisted Port-Access surgery for atrial myxoma. From February 1997 until April 2000, nine patients (3M/6F)) had an atrial myxoma resection with the Heartport Endo-CPB and Endo-aortic clamp system. Mean age was 54 +/- 21.9 years. Most of the patients were symptomatic and had good LV function. Two patients had a combined procedure: one mitral valve replacement and one vascular shunt for dialysis. Mean aortic cross clamp time was 69 +/- 32.8 min and mean perfusion time was 103 +/- 42.7 min. There were no conversions to sternotomy. Three patients had minor complications. Mean ICU and hospital stay were 1 +/- 1.4 and 6 +/- 3.9 days respectively. No thromboembolic or peripheral ischaemic complications were observed. There were no hospital deaths. No recurrent tumors have been identified. The Port-Access approach for myxoma resection constitutes a invaluable alternative to sternotomy with the same gold standards of results and quality.
authors.affiliation: OLV Ziekenhuis, Department of Cardiovascular and Thoracic Surgery, Aalst, Belgium.
authors.forename: P
authors.initials: P
authors.lastname: Schroeyers
authors.forename: Y
authors.initials: Y
authors.lastname: Vermeulen
authors.forename: Fr
authors.initials: F
authors.lastname: Wellens
authors.forename: R
authors.initials: R
authors.lastname: De Geest
authors.forename: I
authors.initials: I
authors.lastname: Degrieck
authors.forename: F
authors.initials: F
authors.lastname: Van Praet
authors.forename: H
authors.initials: H
authors.lastname: Vanermen
mesh_terms: D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006325:Heart Atria / Q000473:pathology / Q000601:surgery; D006338:Heart Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009232:Myxoma / Q000473:pathology / Q000601:surgery*; D017063:Outcome Assessment, Health Care; D015203:Reproducibility of Results; D012189:Retrospective Studies; D020535:Video-Assisted Surgery