Cardioscopy-Assisted Removal of Intracavitary Left Ventricular Papillary
Fibroelastoma
Abstract
A 72-year-old woman was incidentally discovered to have a left
ventricular mass during work-up for coronary artery bypass grafting
surgery. Cardiac MR revealed a 2-cm left ventricular intracavitary mass.
During concomitant coronary artery bypass grafting surgery, a 30-degree
laparoscope was placed through the left ventricular outflow tract (LVOT)
to visualize the mass. The mass was resected through the LVOT with a
combination of focused electrocautery and shears. Histopathologic
examination revealed a papillary fibroelastoma. Laparoscopic camera and
thoracoscopic instruments can be useful for resection of benign, mobile
intracavitary cardiac tumors.