Totally Endoscopic Resection of Giant Left Atrial Myxoma without Robotic Assistance

Dang, Huy Q.; Le, Ngoc-Thanh; Tran, Dac-Dai; Ngo, Thi-Hai-Linh

doi:10.1097/imi.0000000000000487

Cited by 10 publications

(9 citation statements)

References 3 publications

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“…In a recently published small study from Bangladesh, all 20 patients with cardiac myxoma survived the surgery, and 1 patient presented with recurrence 28 mo after the surgery[ 111 ]. In recent years, cardiac myxomas have been excised successfully by minimally invasive surgery with or without robotic assistance[ 119 - 122 ]. Robotic surgery has been associated with early restoration of normal quality of life and early return to employment[ 121 ].…”

Section: Treatmentmentioning

confidence: 99%

Cardiac myxomas: A narrative review

Islam¹

2022

WJC

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Cardiac myxomas are common primary neoplasms of the heart. They are biologically benign but “functionally malignant” because of the potential for embolization. They arise most commonly from the left atrium, but no chambers of the heart are immune. They may be sporadic in the majority but also familial as a part of the Carney complex. Two morphological forms exist: polypoid and papillary. Polypoid myxomas often present with obstructive features, while the papillary forms are more prone to embolization. Histogenesis is still controversial; the current view centres around origin from the primitive pluripotent mesenchymal cells. They may be of giant proportion, be calcified or get infected. Clinical presentation typically involves the triad of intracardiac obstruction, embolic events and constitutional symptoms. Precordial examination findings may simulate those of mitral or tricuspid stenosis. The presence of tumour plop and change of the physical findings with changing position may help differentiation between the two. Echocardiography is the investigation of choice. Echogenic polypoid or papillary mobile mass within the atrial cavity remaining attached to the interatrial septum through a stalk are the tell-tale echocardiographic features. Cardiac magnetic resonance and computed tomographic scanning may have incremental diagnostic value. Histopathological examination reveals abundant loose myxoid stroma with scattered round, polygonal or stellate cells with dense irregular nuclei. Genetic testing may detect mutations in the PRKAR1A gene in the familial form of cardiac myxoma, i.e. the Carney complex. Surgical excision is the mainstay of treatment with low operative mortality, excellent postoperative survival and low recurrence rate. The current trend favours minimal-access surgery with or without robotic assistance. Physicians should have appropriate preparedness to make a timely diagnosis and enthusiastic treatment to avoid potentially fatal complications.

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Section: Treatmentmentioning

confidence: 99%

Cardiac myxomas: A narrative review

Islam¹

2022

WJC

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“…However direct FA cannulation is the standard technique, it predispose the small patients to some risks: (1) the pressure of the arterial line may increase gradually during the operation due to the reflex arterial spasm, especially in children, (2) acute lower limb ischaemia during and after surgery, and (3) postoperative stenosis of the iliac or femoral arteries [6]. As in our other reports [[7], [8], [9]], we used a Knitted Dacron graft (Vascutek Terumo, Bangkok, Thailand) to connect to the common FA of the patient with an end-to-side anastomosis. At the end of the operation, the graft was cut as near as possible to the anastomosis.…”

Section: Discussionmentioning

confidence: 59%

Totally endoscopic ventricular septal defect repair using bilateral femoral arterial cannulation in an 8-year-old girl

Dang¹,

2019

International Journal of Surgery Case Reports

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“…We chose complete sternotomy even though minimally invasive or endoscopic excision of atrial myxomas with or without robotic assistance has been reported. 12,13 Full sternotomy not only is the most straightforward approach in a hemodynamically compromised patient with an unusually large tumor but also improves visualization of the operating field, and facilitates dealing with any complications such as bleeding or need to address the tricuspid valve. Retrospectively, our decision to perform a full sternotomy also allowed us to inspect the tricuspid valve and evaluate the situation in terms of the need for cardioplegic arrest.…”

Section: Discussionmentioning

confidence: 99%

Giant right atrial myxoma: A rare cause of cardiovascular collapse

Beiras-Fernández

Kornberger

El-Beyrouti

et al. 2019

SAGE Open Medical Case Reports

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We report the case of a patient with a giant right atrial myxoma that remained clinically silent until it almost completely obliterated the right atrium, prolapsed into the right ventricle and obstructed the tricuspid valve inflow. This case illustrates the importance of rapid surgical intervention in the setting of acute heart failure caused by tumor masses obliterating heart valves or cardiac chambers.

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Totally Endoscopic Resection of Giant Left Atrial Myxoma without Robotic Assistance

Cited by 10 publications

References 3 publications

Cardiac myxomas: A narrative review

Cardiac myxomas: A narrative review

Totally endoscopic ventricular septal defect repair using bilateral femoral arterial cannulation in an 8-year-old girl

Giant right atrial myxoma: A rare cause of cardiovascular collapse

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