[Transaortic resection of left ventricular fibroelastoma]
Miguel S Guerra1, João Carlos Mota, José António Miranda
1Serviço de Cirurgia Cardio-Torácica do Centro Hospitalar de Vila Nova de Gaia.
Summary
Left ventricular tumors are rare cardiac masses. A transaortic approach provides surgical access for deeply situated tumors, improving outcomes.
Area of Science:
- Cardiovascular Surgery
- Cardiac Oncology
- Diagnostic Imaging
Background:
- Left ventricular tumors are exceptionally rare cardiac masses.
- Complete surgical resection is the primary curative treatment.
- The left atrial approach is generally preferred for accessibility.
Observation:
- A 71-year-old male presented with a cerebellar stroke, later diagnosed with a left ventricular tumor.
- Echocardiography identified a mobile, stalk-attached mass within the left ventricle.
- The tumor's deep location posed challenges for standard surgical access.
Findings:
- A transaortic approach was successfully employed for tumor excision.
- This method facilitated surgical access to the deeply situated intracavitary mass.
- The surgical team avoided ventriculotomy, preserving cardiac integrity.
Implications:
- The transaortic approach is a viable alternative for managing challenging left ventricular tumors.
- This technique enhances surgical accessibility and potentially reduces complications.
- Effective surgical management of rare cardiac tumors is crucial for patient prognosis.
