Resection of Left Atrial Myxoma in a Patient with Retrosternal Gastric Tube: a Case Report

Abstract The median sternotomy remains the standard approach in cardiovascular surgery but, in some conditions, it can be considered difficult to perform, especially in patients with history of esophagectomy. This case report describes a successful resection of a left atrial myxoma through a right anterolateral thoracotomy approach in a patient with a previous retrosternal gastric tube reconstruction. The decision for the best surgical approach was made after a heart surgery team discussion. Through this surgical access, a safe and excellent exposure of the left atrium was possible, and a complete resection of the myxoma was performed without any injury to the gastric tube.

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Bibliographic Details
Main Authors: Pomerantzeff,Pablo Maria Alberto, Veronese,Elinthon Tavares, Dinato,Fabrício José, Jatene,Fabio Biscegli
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Cirurgia Cardiovascular 2017
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382017000500438
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Summary:Abstract The median sternotomy remains the standard approach in cardiovascular surgery but, in some conditions, it can be considered difficult to perform, especially in patients with history of esophagectomy. This case report describes a successful resection of a left atrial myxoma through a right anterolateral thoracotomy approach in a patient with a previous retrosternal gastric tube reconstruction. The decision for the best surgical approach was made after a heart surgery team discussion. Through this surgical access, a safe and excellent exposure of the left atrium was possible, and a complete resection of the myxoma was performed without any injury to the gastric tube.