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Ann Thorac Surg 2004;78:1470-1472
© 2004 The Society of Thoracic Surgeons
nar, MDa
a Department of Cardiovascular Surgery Kadir Has University Medical Faculty, Florence Nightingale Hospital, Istanbul, Turkey,
b Department of Anesthesia, Kadir Has University Medical Faculty, Florence Nightingale Hospital, Istanbul, Turkey
Accepted for publication July 10, 2003.
* Address reprint requests to Dr Guden, Department of Cardiovascular Surgery, Florence Nightingale Hospital, Abide'i Hürriyet Cad, No. 290, 80220 Sisli, Istanbul, Turkey
zmguden{at}ttnet.net.tr
Myxomas are common cardiac tumors that are traditionally managed by complete excision through a median sternotomy approach with the use of cardiopulmonary bypass. We discuss a patient with left atrial myxoma and chronic atrial fibrillation who underwent surgical excision and combined irrigated radiofrequency ablation for atrial fibrillation through a Port Access approach. Minimally invasive operations constitute an expanding field for the treatment of many cardiac diseases and may be an alternative for the treatment of this pathology because of less surgical trauma and cosmetic superiority. In this case, both excision of the myxoma and radiofrequency ablation were feasible through this minimally invasive approach. The combination of direct and endoscopic views enabled both procedures to be performed safely and efficiently.
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