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Video‐assisted endoscopic resection of left ventricular papillary fibroelastoma through the aortic valve
Author(s) -
Ishida Keiichi,
Satokawa Hirono,
Takase Shinya,
Kagoshima Akihito,
Takano Tomohiro,
Yokoyama Hitoshi
Publication year - 2016
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12292
Subject(s) - papillary fibroelastoma , medicine , ventricle , ventriculotomy , aortic valve , surgery , asymptomatic , radiology , cardiology
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.