Mitral chordae myxoma—chordae replacement with a premeasured gore-tex loop using a minimally invasive video-assisted approachReportar como inadecuado




Mitral chordae myxoma—chordae replacement with a premeasured gore-tex loop using a minimally invasive video-assisted approach - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Journal of Cardiothoracic Surgery

, 8:227

First Online: 11 December 2013Received: 14 July 2013Accepted: 06 December 2013

Abstract

Cardiac myxomas are one of the most common types of primary cardiac tumors and are associated with embolization, angina, and sudden death. Most cardiac myxomas arise from the fossa ovalis, while those that arise from the mitral valve are exceedingly rare and those that arise from the chordae are even rarer. We report the case of a 28-year-old Caucasian woman who suffered from a brain infarction. A duplex ultrasound showed no cerebrovascular stenosis or occlusion, but an echocardiogram revealed a left ventricle pedunculated mobile mass 5 mm in diameter that was attached to the mitral valve chordae tendineae. We elected cardiac surgery to resect the cardiac tumor and to avoid further embolic events. The traditional surgical strategy—mitral valve replacement through full sternotomy—has many disadvantages, particularly for young women. Therefore we desided to use the Premeasured Gore-Tex chordal loop method followed by annuloplasty using a minimally invasive video-assisted approach. Exploration of the mitral valve showed a globular tumor involving the anterior mitral leaflet chordae tendineae, which was removed along with the involved chordae tendineae. Histopathological examination of the tissue revealed a benign polypoid myxoma. The patient had an uneventful recovery and has remained symptom-free.

Echocardiography one week after surgery showed satisfactory valve function. We believe our surgical treatment was the most appropriate option for this case and it resulted in an excellent medical outcome and improved the quality of life, including only a small lateral scar without the need for teratogenic anticoagulants.

KeywordsPapillary myxoma Mitral valve repair Minimal invasive technique AbbreviationsCPBCardiopulmonary bypass

MRMitral regurgitation.

Electronic supplementary materialThe online version of this article doi:10.1186-1749-8090-8-227 contains supplementary material, which is available to authorized users.

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Autor: Masatoshi Hata - Jan F Gummert - Jochen Börgermann - Kavous Hakim-Meibodi

Fuente: https://link.springer.com/



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