Transaortic Video-Assisted Resection of a Recurrent Left Ventricular Myxoma

Schröder, Carsten; Leukhardt, William H.; Hsiao, Edward; Farah, Michel G.; Markowitz, Alan H.

doi:10.1016/j.athoracsur.2012.04.144

Cited by 4 publications

(9 citation statements)

References 8 publications

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“…A total of 34 studies [1–15, 19–37] incorporating 54 patients reported outcomes for cardio-endoscopic treatments of left ventricular tumours, thrombus and hypertrophic myocardium (Additional file 1: Table S1; Table 1). A breakdown of the indications for surgery, incision types, and location of the operated pathology is shown in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…The post-operative mortality, morbidity and technique efficacy are shown in Table 2. There were no comparative studies, with all except one [11] were case reports [1–10, 12–15, 19–37]. …”

Section: Resultsmentioning

confidence: 99%

“…The most common type of endoscopic device used was rigid endoscope [1, 5, 8, 12–14, 19, 22, 23, 32, 33, 36, 37], reported in 13 studies. 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].…”

Section: Resultsmentioning

confidence: 99%

“…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]. In the remaining it was not clear whether open surgical or endoscopic instruments were used.…”

Section: Resultsmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review of left ventricular cardio-endoscopic surgery

Soylu

Kidher

Ashrafian

et al. 2017

J Cardiothorac Surg

View full text Add to dashboard Cite

show abstract

“…7 Accurate preoperative information about a myxoma in relation to its shape, size, mobility, texture, number of lesions and the clear localization is indispensable for determining the most appropriate operative procedure. 8 Two dimensional echocardiogram or MRI are adequate diagnostic modalities for these information.…”

Section: Discussionmentioning

confidence: 99%