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Related Experiment Video

Updated: Feb 14, 2026

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock
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[Video-assisted Transaortic Left Ventricular Thrombectomy].

Hiroki Hayashi1, Kazunori Ishikawa, Hideaki Mori

  • 1Department of Cardiovascular Surgery, Maebashi Red Cross Hospital, Maebashi, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|February 28, 2018
PubMed
Summary

A minimally invasive surgical technique successfully removed a left ventricular thrombus in a patient with uterine fibroids. This video-assisted approach avoided open-chest surgery, offering a safer alternative for managing cardiac embolism.

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Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Minimally Invasive Procedures

Background:

  • Left ventricular thrombus (LVT) is a serious complication often resulting from cardiogenic embolism.
  • Standard surgical treatment, left ventriculotomy, carries risks of ventricular dysfunction.
  • A 50-year-old woman presented with aphasia due to LVT, complicated by uterine fibroids causing severe bleeding with anticoagulation.

Observation:

  • The patient's hypermenorrhea due to uterine myoma precluded effective anticoagulation therapy.
  • Surgical intervention was necessary for both the uterine fibroid and the left ventricular thrombus.

Findings:

  • A successful uterine myomectomy was performed, resolving the hypermenorrhea.
  • Subsequently, video-assisted transaortic left ventricular thrombectomy was successfully executed, removing the thrombus.
  • The patient experienced an uneventful postoperative recovery.

Implications:

  • Video-assisted transaortic left ventricular thrombectomy offers a viable, less invasive alternative to traditional left ventriculotomy.
  • This technique potentially reduces the risk of postoperative ventricular dysfunction.
  • Successful management highlights the feasibility of addressing complex cardiac and gynecological comorbidities sequentially.