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Transaortic Video-Assisted Resection of a Recurrent Left Ventricular Myxoma
Carsten Schröder, MD, PhD, William H. Leukhardt, MD, Edward M.C. Hsiao, MD, Michel G. Farah, MD, Alan H. Markowitz, MD The Annals of Thoracic Surgery Volume 95, Issue 1, Pages (January 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions
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Fig 1 (A) Preoperative two-dimensional mode transesophageal echocardiogram demonstrating a 3.6-cm multilobulated mass in the left ventricle, arising from the base of the papillary muscles. (B) Sketch of the unusual vintage point for transaortic valve surgery. Yellow line: entry point of the scope with its unique field of view. Blue line: left atrial vent. Inlay: overview of the left ventricle just after passing the aortic leaflets. (C) Transaortic sharp subendocardial resection of the pedunculated large myxoma. Arrows: incidental finding of a second small myxoma. (D) Ablated myxoma pedicle beds at the base of the papillary muscles. The Annals of Thoracic Surgery , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions
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Fig 2 (A) Instruments used for transaortic minimally invasive surgery. Top to bottom: 30° 5-mm high-definition endoscope, endoshears, thoracoscopic ring forceps, and 5-mm atraumatic grasper. (B) Multilobulated and pedunculated 3.6- × 3.1- × 2.3-cm myxoma with small portion of attached endocardium and scant myocardium, without signs of malignancy. The Annals of Thoracic Surgery , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions
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