Papillary fibroelastoma in the left ventricle resected under the guidance of a gastrointestinal fiberscope.
We report the case of a left ventricular mass in a 72-year-old man with ischemic heart disease. The tumor was deep in the left ventricle, and we considered that it would be difficult to directly visualize. Therefore, we inserted a gastrointestinal fiberscope into the heart. The tumor that was detected appeared to be a papillary fibroelastoma that arose from the left ventricular anterior papillary muscle. We resected the tumor under the guidance of a gastrointestinal fiberscope and performed coronary artery bypass grafting. The gastrointestinal fiberscope was useful for observing and resecting the deep left ventricular tumor.
Akita
Masafumi
M
Department of Cardiovascular Surgery, Kasukabe Chuo General Hospital, Kasukabe City, Saitama, Japan. markun@estate.ocn.ne.jp
Ando
Hiroshi
H
Iida
Yoji
Y
D000368:Aged; D006348:Cardiac Surgical Procedures / Q000295:instrumentation / Q000379:methods; D020776:Endoscopes, Gastrointestinal; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D055100:Optical Fibers