Minimally invasive resection of papillary fibroelastoma in a high-risk patient.
Papillary fibroelastomas are rare, benign cardiac tumors that typically mandate surgical resection. These are usually approached through a median sternotomy with cardioplegic arrest and aortic cross-clamping. We describe the minimally invasive resection of a right atrial fibroelastoma performed on a beating heart via right mini-thoracotomy in a patient complicated by a previous laryngectomy, radiation therapy, and a left-sided pulmonary malignancy.
Division of Cardiothoracic Surgery, Department of Surgery, University of Pennsylvania, PA 19104, USA.
Richard W
RW
Kim
Maren E
ME
Jeffery
Maximilian J
MJ
Smith
Robert L
RL
Wilensky
Edward Y
EY
Woo
Y Joseph
YJ
Woo
D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D016893:Carotid Stenosis / Q000150:complications; D005350:Fibroma / Q000473:pathology / Q000601:surgery*; D006325:Heart Atria / Q000601:surgery; D006338:Heart Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007825:Laryngectomy / Q000009:adverse effects; D008175:Lung Neoplasms / Q000150:complications; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D010210:Papillary Muscles / Q000473:pathology / Q000601:surgery*; D011878:Radiotherapy / Q000009:adverse effects; D018570:Risk Assessment; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D014139:Tracheostomy / Q000009:adverse effects; D016896:Treatment Outcome