Video-assisted cardiac surgery for intracardiac tumors

Yu Sheng Chang, Chau Hsiung Chang, Pyng Jing Lin*, Jaw Ji Chu, Hui Ping Liu, Hung Chang Hsieh, Feng Chun Tsai, Min Wen Yang

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

2 Scopus citations

Abstract

Objective: To present our experience in surgical excision of intracardiac tumors in three patients using video-assisted cardiac surgical techniques. Methods: Three patients received emergency video-assisted cardiac surgery for excision of right atrial or left atrial tumors. These surgeries were performed through right anterior submammary minithoracotomies and guided by video-assisted endoscopic techniques by projected images on a video monitor while under femoro-femoral cardiopulmonary bypass. The myocardium was protected by continuous coronary perfusion with fibrillatory arrest. Conventional instruments were used. Results: All but one of the tumors were excised completely. The bypass time was 88-148 min. The operation time was 3.5-4.4 h. There were no operative deaths. Pathological examination of the tumors showed left atrial myxoma, metastatic left atrial choriocarcinoma, and right atrial lymphoma. One patient died from noncardiac origin 5 weeks after discharge. Follow-up was completed with the two survivors. Transthoracic echocardiographic examination showed good ventricular function without any residual tumors. They were both in New York Heart Association functional class I or II. They were satisfied with the cosmetic healing of their incisions. Conclusion: Video-assisted cardiac surgery is technically feasible and can be performed in surgical excision of intracardiac tumors.

Original languageEnglish
Pages (from-to)S160-S165
JournalEuropean Journal of Cardio-thoracic Surgery
Volume14
Issue numberSUPPL. 1
StatePublished - 01 10 1998

Keywords

  • Cardiac
  • Myxoma
  • Video-assisted cardiac surgery

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