Video-assisted cardioscopy in a patient with left ventricular tumor of unknown etiology

Junemann-Ramirez, M

doi:10.1510/icvts.2004.093229

Cited by 2 publications

(6 citation statements)

References 9 publications

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“…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%

“…There were no mortalities (0/47) among 27 studies at last recorded follow-up (Table 2) [2–13, 15, 19, 21–28, 31–35]. In 12 studies, the follow-up was longer than 30-days and no mortalities were observed [2, 3, 5, 6, 8, 9, 12, 25, 26, 31, 33, 35].…”

Section: Resultsmentioning

confidence: 99%

“…Approximately 25% of primary cardiac tumours are reported to be malignant [13]. Common benign tumours include papillary fibroelastoma (PFE), myxoma and benign haemangiomas.…”

Section: Discussionmentioning

confidence: 99%

“…Common benign tumours include papillary fibroelastoma (PFE), myxoma and benign haemangiomas. Surgical intervention in malignant cases may not be justified due to poorer prognosis and complications associated with the procedure [13, 39]. In contrast however, the treatment of choice for benign intracardiac tumours is surgical excision.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, this technique has the added benefit of being compatible with use in minimally invasive procedures, further minimising the surgical trauma and associated morbidity [6, 12]. Its use may also be of particular benefit for patients with pre-existing ventricular impairment who would otherwise require ventriculotomy [13–15]. …”

Section: Introductionmentioning

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%

“…Approximately 25% of primary cardiac tumours are reported to be malignant [13]. Common benign tumours include papillary fibroelastoma (PFE), myxoma and benign haemangiomas.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A systematic review of left ventricular cardio-endoscopic surgery

Soylu

Kidher

Ashrafian

et al. 2017

J Cardiothorac Surg

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The Use of Video-Assisted Cardioscopy for Neonatal Left Ventricular Tumor Resection

Pelella

Ramaraj

Dhannapuneni

et al. 2016

World J Pediatr Congenit Heart Surg

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We report the use of video-assisted cardioscopy (VAC) to assess the complete resection of a giant sessile rhabdomyoma of the left ventricle (LV) in a case of suspected neonatal tuberous sclerosis. A fetal echocardiogram performed at 20 weeks of gestation identified the mass at the apex of the LV and attached to the interventricular septum (IVS). Further echocardiography during the pregnancy demonstrated moderate growth of the LV mass. This was occupying more than two-thirds of the LV cavity after the delivery, and there were concerns of LV outflow tract obstruction. The 4-kg newborn underwent LV tumor excision via a left atrial approach at the age of 12 days. The mitral valve (MV) apparatus and the IVS had strong attachments to the mass. The tumor was successfully resected. In view of the invasiveness of the tumor, a decision was taken to perform an intracardiac assessment using a VAC to detect any iatrogenic complication. A Karl Storz Neuro Endoscope probe 4 mm in diameter and 14 mm in length with an angulation of 0° was passed into the left ventricular cavity through the MV with the aim to detect residual tumor and to identify any iatrogenic complications due to the extensive resection. Video-assisted cardioscopy allows visualization of inaccessible intraventricular structures avoiding ventriculotomy, which can cause ventricular dysfunction, arrhythmias, and aneurysm formation. The VAC was shown to be very useful in this situation, and the process can easily be repeated as required.

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Video-assisted cardioscopy in a patient with left ventricular tumor of unknown etiology

Cited by 2 publications

References 9 publications

A systematic review of left ventricular cardio-endoscopic surgery

A systematic review of left ventricular cardio-endoscopic surgery

The Use of Video-Assisted Cardioscopy for Neonatal Left Ventricular Tumor Resection

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