Video-assisted left ventricle mass removal

Oumeiri, Bachar Ghassan El; Casselman, Filip; Vanermen, Hugo

doi:10.1016/j.ejcts.2007.05.001

Cited by 4 publications

(5 citation statements)

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“…However, a mobile thrombus causing stroke may require surgical removal. 6,7 In our case, anticoagulant therapy and thrombolytic therapy were immediately started. However, surgical treatment was selected because splenic infarction occurred after anticoagulant therapy.…”

Section: Discussionmentioning

confidence: 67%

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Left Ventricular Thrombectomy Using Video-Assisted Thoracoscopy

Tanaka¹,

Sakaguchi²,

Chikazawa³

et al. 2013

J Card Surg

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Section: Discussionmentioning

confidence: 67%

“…Almost all left ventricular thrombi that affix to the cardiac wall may be treated with anticoagulants. However, a mobile thrombus causing stroke may require surgical removal . In our case, anticoagulant therapy and thrombolytic therapy were immediately started.…”

Section: Discussionmentioning

confidence: 86%

Left Ventricular Thrombectomy Using Video-Assisted Thoracoscopy

Tanaka¹,

Sakaguchi²,

Chikazawa³

et al. 2013

J Card Surg

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“…This was followed by semi-rigid endoscopes in four [7, 9, 21, 29], flexible endoscopes in three [2, 3, 30] and mixture of rigid and flexible endoscopes in one study [11]. In 13 studies, the type of endoscope used was not specified [4, 6, 10, 15, 20, 24–28, 31, 34, 35]. Other adjunct endoscopic instruments such as forceps, graspers, scissors, suckers or retractors were used in 13 studies [2, 3, 12, 13, 15, 19, 21, 25, 30, 32, 34, 35, 37].…”

Section: Resultsmentioning

confidence: 99%

“…In the remaining it was not clear whether open surgical or endoscopic instruments were used. The pre-operative imaging was pre-dominantly echocardiography, noted in 31 cases [2–10, 12–15, 20–37]. In one case ventriculography was used [19] and in the remaining 22 cases the imaging method was not specified [1, 11].…”

Section: Resultsmentioning

confidence: 99%

A systematic review of left ventricular cardio-endoscopic surgery

Soylu

Kidher

Ashrafian

et al. 2017

J Cardiothorac Surg

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Better visualisation, accurate resection and avoidance of ventriculotomy associated with use of endoscopic devices during intracardiac surgery has led to increasing interest in their use. The possibility of combining a cardio-endoscopic technique with either minimally invasive or totally endoscopic cardiac surgery provides an incentive for its further development. Several devices have been used, however their uptake has been limited due to uncertainty around their impact on patient outcomes. A systematic review of the literature identified 34 studies, incorporating 54 subjects undergoing treatment of left ventricular tumours, thrombus or hypertrophic myocardium using a cardio-endoscopic technique. There were no mortalities (0%; 0/47). In 12 studies, the follow-up period was longer than 30 days. There were no post-operative complications apart from one case of atrial fibrillation (2.2%; 1/46). Complete resection of left ventricular lesion was achieved in all cases (100%; 50/50). These successful results demonstrate that the cardio-endoscopic technique is a useful adjunct in resection of left ventricular tumours, thrombus and hypertrophic myocardium. This approach facilitates accurate resection of pathological tissue from left ventricle whilst avoiding exposure related valvular damage and adverse effects associated with ventriculotomy. Future research should focus on designing adequately powered comparative randomised trials focusing on major cardiac and cerebrovascular morbidity outcomes in both the short and long-term. In this way, we may have a more comprehensive picture of both the safety and efficacy of this technique and determine whether such devices could be safely adopted for routine use in minimal access or robotic intra-cardiac surgery.Electronic supplementary materialThe online version of this article (doi:10.1186/s13019-017-0599-z) contains supplementary material, which is available to authorized users.

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“…Multidisciplinary discussions (MDD) with family and they agreed to video-assisted LVM removal. 1 as calcified amorphous tumour. Next 24 hours, she had respiratory decompensation leading to reintubation.…”

Section: Descriptionmentioning

confidence: 99%