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Published on: October 16, 2021
Mobilization of the anterior mitral leaflet for excision of a left ventricular myxoma
N G Talwalkar1, J J Livesay, B Treistman
1Department of Cardiothoracic Surgery, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston 77030, USA.
Abstract:
Left ventricular myxomas are extremely rare. We report use of a left atrial approach with mobilization of the anterior mitral valve leaflet to enhance exposure of the subvalvar region and facilitate excision of a left ventricular myxoma entangled within the chordal apparatus, lying between the anterolateral papillary muscle and the left ventricular wall. The detached mitral leaflet was reattached to the annulus with a continuous suture. The tumor was completely excised, thus avoiding a separate transventricular or transaortic approach.
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