Resection of a large left atrial myxoma combined with mitral valve repair via a vertical right axillary thoracotomy in a pediatric patient

Lena E. Trager; Carlos Miranda; Benjamin Kloesel; Sameh M. Said

doi:10.1510/mmcts.2021.081

Resection of a large left atrial myxoma combined with mitral valve repair via a vertical right axillary thoracotomy in a pediatric patient

Lena E. Trager
, Carlos Miranda
, Benjamin Kloesel
, Sameh M. Said

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Cardiac myxomas are extremely rare in the pediatric population; however, if they do develop, they occur most often in the left atrium. We present a 16-year-old male who had a murmur discovered during a routine sport examination. A transthoracic echocardiogram showed a large left atrial tumor that caused severe inflow obstruction to the left ventricle and at least moderate mitral valve regurgitation. Through a minimally invasive, muscle-sparing vertical right axillary thoracotomy, he underwent complete resection of the mass, combined with posterior mitral valve annuloplasty. A histopathological examination confirmed a cardiac myxoma.

Original language	English (US)
Journal	Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery
Volume	2021
DOIs	https://doi.org/10.1510/mmcts.2021.081
State	Published - Dec 1 2021

Bibliographical note

Publisher Copyright:
© The Author 2021. Published by MMCTS on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

Keywords

Cardiac tumor
Minimally invasive surgery
Mitral valve repair
Myxoma
Right thoracotomy

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10.1510/mmcts.2021.081

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Resection of a large left atrial myxoma combined with mitral valve repair via a vertical right axillary thoracotomy in a pediatric patient. / Trager, Lena E.; Miranda, Carlos; Kloesel, Benjamin et al.
In: Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery, Vol. 2021, 01.12.2021.

Research output: Contribution to journal › Article › peer-review

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AB - Cardiac myxomas are extremely rare in the pediatric population; however, if they do develop, they occur most often in the left atrium. We present a 16-year-old male who had a murmur discovered during a routine sport examination. A transthoracic echocardiogram showed a large left atrial tumor that caused severe inflow obstruction to the left ventricle and at least moderate mitral valve regurgitation. Through a minimally invasive, muscle-sparing vertical right axillary thoracotomy, he underwent complete resection of the mass, combined with posterior mitral valve annuloplasty. A histopathological examination confirmed a cardiac myxoma.

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KW - Mitral valve repair

KW - Myxoma

KW - Right thoracotomy

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Resection of a large left atrial myxoma combined with mitral valve repair via a vertical right axillary thoracotomy in a pediatric patient

Abstract

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