title: Robotic Excision of a Papillary Fibroelastoma of the Mitral Chordae.
abstract: Papillary fibroelastomas of the mitral chordae tendineae are rare, primary benign tumors. They are either incidentally diagnosed during echocardiography or discovered after transient ischemic attack, stroke, or myocardial infarction. Removal of papillary fibroelastomas should be considered, given the increased risk for embolization causing cerebrovascular accident or mortality in patients with echocardiographic evidence of papillary fibroelastoma not undergoing surgical procedures. Although fibroelastoma removal can be performed in most cases without disrupting mitral valve competency, sternotomy and minithoracotomy are the typical approaches for excision. Herein, we report the first robotic excision of a mitral chord papillary fibroelastoma.
authors.affiliation: Department of Cardiac Surgery, Kerckhoff Heart Center, Bad Nauheim, Germany; Department of Cardiothoracic Surgery, The Heart Hospital Baylor Plano, Plano, Texas. Electronic address: mani.arsalan@gmail.com.
authors.forename: Mani
authors.initials: M
authors.lastname: Arsalan
authors.affiliation: Department of Cardiothoracic Surgery, The Heart Hospital Baylor Plano, Plano, Texas.
authors.forename: Robert L
authors.initials: RL
authors.lastname: Smith
authors.affiliation: Department of Cardiothoracic Surgery, The Heart Hospital Baylor Plano, Plano, Texas.
authors.forename: John J
authors.initials: JJ
authors.lastname: Squiers
authors.affiliation: Department of Cardiothoracic Surgery, The Heart Hospital Baylor Plano, Plano, Texas.
authors.forename: Alex
authors.initials: A
authors.lastname: Wang
authors.affiliation: Department of Cardiothoracic Surgery, The Heart Hospital Baylor Plano, Plano, Texas.
authors.forename: J Michael
authors.initials: JM
authors.lastname: DiMaio
authors.affiliation: Department of Cardiothoracic Surgery, The Heart Hospital Baylor Plano, Plano, Texas.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Mack
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D002315:Cardiopulmonary Bypass; D002815:Chordae Tendineae / Q000000981:diagnostic imaging / Q000601:surgery*; D003131:Combined Modality Therapy; D054059:Coronary Occlusion / Q000150:complications / Q000628:therapy; D054855:Drug-Eluting Stents; D017548:Echocardiography, Transesophageal; D057510:Endovascular Procedures / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005350:Fibroma / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006338:Heart Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D033162:Incidental Findings; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D012371:Robotics / Q000379:methods*
chemical_list: D000925:Anticoagulants