Combined radiofrequency ablation and myxoma resection through a port access approach.
Myxomas are common cardiac tumors that are traditionally managed by complete excision through a median sternotomy approach with the use of cardiopulmonary bypass. We discuss a patient with left atrial myxoma and chronic atrial fibrillation who underwent surgical excision and combined irrigated radiofrequency ablation for atrial fibrillation through a Port Access approach. Minimally invasive operations constitute an expanding field for the treatment of many cardiac diseases and may be an alternative for the treatment of this pathology because of less surgical trauma and cosmetic superiority. In this case, both excision of the myxoma and radiofrequency ablation were feasible through this minimally invasive approach. The combination of direct and endoscopic views enabled both procedures to be performed safely and efficiently.
Department of Cardiovascular Surgery, Kadir Has University Medical Faculty, Florence Nightingale Hospital, Istanbul, Turkey. zmguden@ttnet.net.tr
Mustafa
M
Guden
Belhhan
B
Akpinar
Mehmet U
MU
Ergenoglu
Ertan
E
Sagbas
Ilhan
I
Sanisoglu
Ugur
U
Ozbek
D001281:Atrial Fibrillation / Q000209:etiology; D006328:Cardiac Catheterization; D017115:Catheter Ablation / Q000379:methods*; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D004724:Endoscopy / Q000379:methods*; D006338:Heart Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D009232:Myxoma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011300:Preoperative Care