Surgical approach to a left ventricular myxoma guided by transesophageal and epicardial dual-view echocardiography: a case reportReportar como inadecuado




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Surgical Case Reports

, 2:92

First Online: 08 September 2016Received: 15 July 2016Accepted: 05 September 2016

Abstract

BackgroundLeft ventricular myxoma is a rare benign cardiac neoplasm. Surgical excision is the treatment of choice, and complete removal is mandatory to prevent late recurrence.

Case presentationHere, we report a case of myxoma originating from the anterolateral wall of the left ventricle with a very short stalk. Accordingly, the transaortic and transmitral approaches were considered inadequate; therefore, a transventricular approach was adopted. To minimize the incidence of complications associated with a left ventriculotomy, its length was designed to be as short as possible. To plan a proper ventriculotomy, measurements were taken by the combined use of transesophageal echocardiography and epicardial direct echocardiography.

ConclusionsThis method provided a good guide without being a complicated technique. The tumor and its attachment were clearly visualized and completely resected in an en bloc fashion. No recurrence has occurred to date.

KeywordsLeft ventricular myxoma Intraoperative echocardiography Surgical approach AbbreviationsEFEjection fraction

TEETransesophageal echocardiography

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Autor: Azumi Hamasaki - Kazunori Ishikawa

Fuente: https://link.springer.com/article/10.1186/s40792-016-0224-8







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