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Ann Thorac Surg 1997;63:221-223
© 1997 The Society of Thoracic Surgeons


Case Report

Visualization of Ventricular Fibroelastoma With a Video-Assisted Thoracoscope

Rafael Espada, MD, Nirupama G. Talwalker, MD, George Wilcox, MD, Neal S. Kleiman, MD, Mario S. Verani, MD

Departments of Surgery, Cardiology, and Pathology, Baylor College of Medicine, The Methodist Hospital, Houston, Texas

Accepted for publication June 25, 1996.

Left ventricular papillary fibroelastomas are associated with a high risk of cerebral embolization. Two-dimensional echocardiography and intraoperative transesophageal echocardiography are helpful in diagnosing tumors, planning a surgical approach, and achieving adequate excision. A video-assisted thoracoscope via the left atrium was used to visualize a left ventricular papillary fibroelastoma. Thoracoscopic visualization facilitated excision of a mass within the chordae tendineae between the anterolateral papillary muscle and the left ventricular wall. Video-assisted thoracoscopy greatly facilitates exposure/excision of deeper intracavitary left ventricular masses.




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