Intraoperative bronchoscopic resection of a papillary fibroelastoma in the left ventricular outflow tract after aortic mechanical valve replacement.
We report the case of an 80-year-old man who 11 years previously had undergone aortic valve replacement (St. Jude Medical mechanical heart valve 23 mm) because of aortic stenosis. At the current presentation, a 7-mm pedunculated tumor was discovered along the septal wall in the left ventricular outflow tract. In an attempt to perform a less invasive procedure because of the patient's advanced age, transaortic valve bronchoscopic resection was undertaken. A bronchoscope (Olympus BF P-200) was fed through a gap in the mechanical aortic valve. The entire tumor was removed using biopsy forceps, with histology revealing a papillary fibroelastoma. By using a bronchoscope, we avoided a second valve replacement.
Shuto
Takashi
T
Department of Cardiovascular Surgery, Oita University Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5593, Japan.
Miyamoto
Shinji
S
Anai
Hirofumi
H
Wada
Tomoyuki
T
Hamamoto
Hirotsugu
H
Shimaoka
Toru
T
D000369:Aged, 80 and over; D001024:Aortic Valve Stenosis / Q000601:surgery*; D020680:Bronchoscopes; D006348:Cardiac Surgical Procedures / Q000295:instrumentation*; D017548:Echocardiography, Transesophageal; D005350:Fibroma / Q000175:diagnosis / Q000601:surgery*; D006338:Heart Neoplasms / Q000175:diagnosis / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D016896:Treatment Outcome