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Ahmad A, El-Am EA, Mazur P, Akiki E, Sorour AA, Kurmann RD, Klarich KW, Arghami A, Rowse PG, Daly RC, Dearani JA. A Case Series of Minimally Invasive Robotic-Assisted Resection of Cardiac Papillary Fibroelastoma: The Mayo Clinic Experience. Mayo Clin Proc Innov Qual Outcomes 2024; 8:143-150. [PMID: 38434934 PMCID: PMC10905955 DOI: 10.1016/j.mayocpiqo.2024.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/05/2024] Open
Abstract
Papillary fibroelastomas (PFEs) are small, slowly growing benign cardiac tumors with clinically significant risk of embolization. Surgical excision is the definitive treatment of symptomatic PFE and is conventionally performed through a median sternotomy. In this study, we report a series of 12 patients, who underwent robotic-assisted PFE removal at the Mayo Clinic. PFE involved the mitral valve, left atrium, and tricuspid valve. No major complications occurred after the procedure, and most patients were discharged 4 days after the surgery. On follow-up, 1 patient demonstrated pericarditis.
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Affiliation(s)
- Ali Ahmad
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN
| | - Edward A El-Am
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | - Piotr Mazur
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN
| | - Elias Akiki
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | - Ahmed A Sorour
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | - Reto D Kurmann
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | - Kyle W Klarich
- Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN
| | - Arman Arghami
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN
| | - Phillip G Rowse
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN
| | - Richard C Daly
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN
| | - Joseph A Dearani
- Department of Cardiovascular Surgery, Mayo Clinic, Rochester, MN
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Nellis JR, Wojnarski CM, Fitch ZW, Andersen NA, Turek JW. Minimally Invasive Pulmonary Fibroelastoma Resection. INNOVATIONS-TECHNOLOGY AND TECHNIQUES IN CARDIOTHORACIC AND VASCULAR SURGERY 2019; 14:577-580. [DOI: 10.1177/1556984519884308] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Pulmonary fibroelastomas are a rare primary cardiac tumor with less than 50 cases reported in the literature to date. We performed a minimally invasive valve-sparing tumor resection through a left anterior mini-incision (LAMI). The procedure was performed without cardiac arrest or aortic cross clamp, expediting postoperative recovery and allowing for an uncomplicated discharge on postoperative day 5. LAMI is a safe and reliable alternative to median sternotomy for patients requiring interventions on the right ventricular outflow tract and main pulmonary artery, including pulmonary fibroelastoma resection and pulmonary valve replacement when needed.
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Affiliation(s)
- Joseph R. Nellis
- Department of Surgery, Duke University Hospitals, Durham, NC, USA
- Duke Congenital Heart Surgery Research & Training Laboratory, Durham, NC, USA
| | - Charles M. Wojnarski
- Duke Congenital Heart Surgery Research & Training Laboratory, Durham, NC, USA
- Division of Cardiothoracic Surgery, Duke University Hospitals, Durham, NC, USA
| | - Zachary W. Fitch
- Department of Surgery, Duke University Hospitals, Durham, NC, USA
- Duke Congenital Heart Surgery Research & Training Laboratory, Durham, NC, USA
| | - Nicholas A. Andersen
- Duke Congenital Heart Surgery Research & Training Laboratory, Durham, NC, USA
- Division of Cardiothoracic Surgery, Duke University Hospitals, Durham, NC, USA
- Pediatric & Congenital Heart Center, Duke Children’s Hospital, Durham, NC, USA
| | - Joseph W. Turek
- Duke Congenital Heart Surgery Research & Training Laboratory, Durham, NC, USA
- Division of Cardiothoracic Surgery, Duke University Hospitals, Durham, NC, USA
- Pediatric & Congenital Heart Center, Duke Children’s Hospital, Durham, NC, USA
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