title: Video-assisted endoscopic resection of left ventricular papillary fibroelastoma through the aortic valve.
abstract: Papillary fibroelastoma is a rare, benign cardiac tumor. Surgical resection is indicated to prevent embolization. We herein report a case of a 78-year-old asymptomatic man who was found to have a mobile left ventricular papillary fibroelastoma anchoring deep in the left ventricle by incidental transthoracic echocardiography. The tumor was resected under visualization by a video-assisted rigid endoscope with a flexible head inserted through the aortic valve into the left ventricle. Intraoperative frozen section analysis provided a pathological diagnosis of papillary fibroelastoma. The postoperative course was uneventful. This technique is recommended for the observation and resection of a tumor anchoring deep in the left ventricle and is helpful for avoiding the adverse effects of left ventriculotomy.
authors.affiliation: Department of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japan. k-ishida@fmu.ac.jp.
authors.forename: Keiichi
authors.initials: K
authors.lastname: Ishida
authors.affiliation: Department of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japan.
authors.forename: Hirono
authors.initials: H
authors.lastname: Satokawa
authors.affiliation: Department of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japan.
authors.forename: Shinya
authors.initials: S
authors.lastname: Takase
authors.affiliation: Department of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japan.
authors.forename: Akihito
authors.initials: A
authors.lastname: Kagoshima
authors.affiliation: Department of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japan.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Takano
authors.affiliation: Department of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japan.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yokoyama
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000601:surgery; D004724:Endoscopy; D005350:Fibroma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D020535:Video-Assisted Surgery
keywords: Left ventricle; papillary fibroelastoma; video-assisted endoscopic resection