Left ventricular myxoma resection with minimally invasive mitral valve reconstruction.
Ventricular myxomas are rare, accounting for less than 5% of all benign cardiac tumors. Although histologically benign, myxomas can be a source of significant morbidity and mortality. The case is presented of a left ventricular myxoma involving the posterior papillary muscle that was resected using a minimally invasive transmitral approach. A radical mitral valve reconstruction was performed, including the replacement of two chordae tendineae, annuloplasty and valvuloplasty, resulting in excellent postoperative mitral valve function. Precise preoperative imaging and surgical planning are necessary to achieve adequate tumor margins and to minimize the likelihood of recurrence.
Seder
Christopher W
CW
Department of Surgery, Section of General Surgery, William Beaumont Hospitals, Royal Oak, Michigan, USA.
Sakwa
Marc P
MP
Shannon
Francis L
FL
D000328:Adult; D006348:Cardiac Surgical Procedures; D002815:Chordae Tendineae / Q000601:surgery; D005260:Female; D006338:Heart Neoplasms / Q000473:pathology / Q000601:surgery*; D006352:Heart Ventricles / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D019060:Minimally Invasive Surgical Procedures; D008943:Mitral Valve / Q000473:pathology / Q000601:surgery*; D009232:Myxoma / Q000473:pathology / Q000601:surgery*; D009361:Neoplasm Invasiveness; D016896:Treatment Outcome