An alternative approach to the apex of the left ventricle

Because of the risk of performing a left ventriculotomy in a patient with a left ventricular mass as well as decreased myocardial function, secondary to a myocardiopathy, my colleagues and I sought an alternate method for removal of the mass. Our decision to follow the procedure to be described in this report provided ideal access to the tumor, and the excellent results obtained in this and a subsequent case established the validity of this alternative to a left ventriculotomy. Although we realize not all masses of this nature need be removed, we present this technique as a useful addition to our armamentarium.