title: Left ventricular apical papillary fibroelastoma resection via mediastinoscope through the aortic valve.
abstract: This case report describes a novel minimally invasive technique for complete resection of a cardiac papillary fibroelastoma by directly visualizing the mass via an intraoperative mediastinoscope placed through the aortic valve. A 68-year-old man presented to the emergency department with two episodes of transient ischemic attack. Echocardiography demonstrated a pedunculated, mobile mass in the left ventricular apex. Cardiac surgery was consulted, and complete resection of the fibroelastoma was carried out by inserting a mediastinoscope through the aortic valve and into the left ventricle, whereby the mass was directly visualized and excised with biopsy forceps. There were no postoperative complications, and at 1-year follow-up, the patient had no further evidence of embolic events.
authors: Division of Cardiac Surgery, University of Ottawa Heart Institute, University of Ottawa, Ottawa, Canada. htoeg@ottawaheart.ca
authors: Hadi Daood
authors: HD
authors: Toeg
authors: Robert James
authors: RJ
authors: Cusimano
mesh_terms: D000368:Aged; D001021:Aortic Valve; D006348:Cardiac Surgical Procedures / Q000379:methods; D006338:Heart Neoplasms / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D020707:Mediastinoscopes; D008481:Mediastinoscopy / Q000379:methods*