title: [Transaortic resection of left ventricular fibroelastoma].
abstract: Left ventricular tumors are extremely rare. Complete surgical resection is usually curative and recurrence is rare. The left atrial approach is safe and advisable when possible. We report a rare case of left ventricular tumor in a 71-year-old man presented with a cerebellar stroke. A two-dimensional echocardiogram revealed a mobile mass with the stalk attached deeply in left ventricular wall. To improve surgical access, a transversal aortotomy was performed and the mass was gently pulled and excised. Intracavitary left ventricular tumors, which are deeply situated, difficult to see, and inaccessible via left atriotomy, may be made surgically accessible by a transaortic approach. A vetriculotomy should be avoided.
authors.affiliation: Serviço de Cirurgia Cardio-Torácica do Centro Hospitalar de Vila Nova de Gaia.
authors.forename: Miguel S
authors.initials: MS
authors.lastname: Guerra
authors.forename: João
authors.initials: J
authors.lastname: Carlos Mota
authors.forename: José António
authors.initials: JA
authors.lastname: Miranda
authors.forename: Luis
authors.initials: L
authors.lastname: Vouga
mesh_terms: D000368:Aged; D001011:Aorta; D006348:Cardiac Surgical Procedures / Q000379:methods; D006338:Heart Neoplasms / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D008297:Male