Minimally Invasive Video-Assisted Resection of Ventricular Myxoma: Case Report

Area of Science:

• Cardiovascular Surgery
• Cardiac Oncology
• Minimally Invasive Techniques

Background:

• Primary cardiac tumors are rare, with surgical management traditionally involving median sternotomy.
• Minimally invasive approaches offer potential benefits like reduced trauma and faster recovery.

Purpose of the Study:

• To present a case of left ventricular myxoma resection using a minimally invasive technique.
• To evaluate the safety and efficacy of video-assisted mini-thoracotomy for ventricular myxoma removal.

Main Methods:

• A 31-year-old patient with an incidentally discovered left ventricular mass underwent diagnostic imaging (transesophageal echocardiography, cardiac MRI).
• Complete tumor resection was achieved via a right video-assisted mini-thoracotomy with cardiopulmonary bypass.
• Histopathological analysis confirmed the diagnosis of ventricular myxoma.

Main Results:

• The minimally invasive resection was successful, with an uneventful postoperative course.
• The patient was discharged on postoperative day three and returned to work two weeks post-surgery.
• This represents a novel approach for ventricular myxoma in Chile.

Conclusions:

• Video-assisted mini-thoracotomy is a safe and effective alternative for selected patients with left ventricular myxomas.
• This approach can lead to faster recovery and reduced operative morbidity compared to conventional sternotomy.