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Ann Thorac Surg 1997;64:1226
© 1997 The Society of Thoracic Surgeons

Correspondence

Papillary Fibroelastoma

Marshall D. Goldin, MD, Keith B. Allen, MD, Ramon Mitra, MD, PhD

Cardiovascular Surgical Associates PC, 1725 W Harrison St, Suite 1156, Chicago, IL 60612

To the Editor:

We were pleased to note the article written by Dr Espada and associates titled "Visualization of Ventricular Fibroelastoma With a Video-Assisted Thoracoscope" [1]. Their article described successful video-assisted removal of a papillary fibroelastoma located within the left ventricle.

Our article, "Transaortic Video-Assisted Excision of a Left Ventricular Papillary Fibroelastoma" [2], describes transaortic video-assisted removal of a similar lesion. Our article described the transaortic approach based on our anticipation that the left ventricular exploration would be better facilitated via the aorta and with concern that transatrial approach via a normal-sized atrium might not allow adequate ventricular exploration. We shall, however, consider this option in the future.

References

  1. Espada R, Talwalker NG, Wilcox G, Kleiman NS, Verani MS. Visualization of ventricular fibroelastoma with a video-assisted thoracoscope. Ann Thorac Surg 1997;63:221–3.
  2. Allen KB, Goldin M, Mitra R. Transaortic video-assisted excision of a left ventricular papillary fibroelastoma. J Thorac Cardiovasc Surg 1996;112:199–201.
 

Reply

Rafael Espada, MD

Department of Surgery, Baylor College of Medicine, 6535 Fannin, #A886, Houston, TX 77030

To the Editor:

I appreciate Dr Goldin and associates' comments and respect their opinion on the feasibility of a transaortic approach. In this particular case, we thought that the transaortic approach would not allow good visualization under the aortic valve and the posterior region of the left ventricle; therefore, we opted for the transatrial approach. Doctor Goldin and associates' approach is certainly a viable option.





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