Harling L, Athanasiou T, Ashrafian H, Kokotsakis J, Brown V, Nathan A, Casula R. Minimal access excision of aortic valve fibroelastoma: a case report and review of the literature.
J Cardiothorac Surg 2012;
7:80. [PMID:
22943845 PMCID:
PMC3494536 DOI:
10.1186/1749-8090-7-80]
[Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2012] [Accepted: 08/21/2012] [Indexed: 11/10/2022] Open
Abstract
Papillary fibroelastomas are rare primary tumours of cardiac origin accounting for approximately 10% of all primary cardiac neoplasms. Due to a high thromboembolic risk, surgical excision is the mainstay of treatment in these patients and median sternotomy the most widely used approach. We describe the case of a 43 year-old lady presenting with acute myocardial infarction secondary to aortic valve papillary fibroelastoma subsequently excised using a minimal access technique. From our experience mini-sternotomy offers excellent exposure and allows for safe resection in such cases, improving cosmesis without compromising either intra or post-operative outcome.
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