Transcatheter Electrosurgical Loop Resection of a Right Ventricular Fibromyxoma
Marat Aripov1, Abdurashid Mussayev1, Aknur Kali1
1Department of Interventional Cardiology, Heart Center University Medical Center, Astana, Kazakhstan.
Background:
Surgical excision remains the standard of care for primary cardiac tumors. However, advances in catheter-based electrosurgical techniques have enabled minimally invasive resection of selected intracardiac masses.
Case Summary:
A 19-year-old male patient was identified with a neoplasm in the right ventricle after a medical evaluation. The possibility of performing a transfemoral excision of the tumor was taken into consideration, as the patient wanted to pursue a professional football career. Coagulation was used to remove the mass, and snare systems were used to entirely retrieve it. The procedure was technically successful without any complications.
Discussion:
This method validates the technical viability of whole mass removal via venous access and broadens the use of transcatheter structural treatment of intracardiac masses.
Take-Home Messages:
Transcatheter removal of a right ventricular fibromyxoma may be a safe alternative to open surgery in certain patients. A successful outcome requires careful planning, precise visualization, and coordinated multidisciplinary teamwork.
