Video-assisted minimal access in excision of left atrial myxoma

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Presentation transcript:

Video-assisted minimal access in excision of left atrial myxoma Po-Jen Ko, MD, Chau-Hsiung Chang, MD, Pyng Jing Lin, MD, Jaw-Ji Chu, MD, Feng-Chun Tsai, MD, Chuen Hsueh, MD, Min-Wen Yang, MD The Annals of Thoracic Surgery Volume 66, Issue 4, Pages 1301-1305 (October 1998) DOI: 10.1016/S0003-4975(98)00759-0

Fig 1 Picture of patient 2’s incision taken 1 week after operation. The Annals of Thoracic Surgery 1998 66, 1301-1305DOI: (10.1016/S0003-4975(98)00759-0)

Fig 2 (Patient 3.) (A) The right atrium was exposed after right parasternal incision, excision of the third and fourth costal cartilages, and pericardiotomy. (B) Fossa ovalis was found after right atriotomy. (C) The interatrial septum was incised and the myxoma was exposed. (D) The myxoma was removing through the right atrium with full thickness of interatrial septum. Arrowhead indicates interatrial septum attached with pedicle of the myxoma. The Annals of Thoracic Surgery 1998 66, 1301-1305DOI: (10.1016/S0003-4975(98)00759-0)

Fig 3 (Patient 3.) (A) The right ventricle was explored by the video-assisted endoscope for any simultaneous or dislodged tumors. (B) The left ventricle was explored by the video-assisted endoscope. (C) The interatrial septal defect was repaired by autologous pericardium. (D) The excised myxoma (3 × 5 × 6 cm). The Annals of Thoracic Surgery 1998 66, 1301-1305DOI: (10.1016/S0003-4975(98)00759-0)

Fig 4 Histologic examination of myxoma from patient 1. It consists of a myxoid, loose matrix. The myxoma cells aggregate around blood vessels and form vascularlike channels. (Hematoxylin and eosin; ×320 before 55% reduction.) The Annals of Thoracic Surgery 1998 66, 1301-1305DOI: (10.1016/S0003-4975(98)00759-0)