Video-assisted Port-Access surgery for radical myxoma resection

Acta Chir Belg. 2002 Apr;102(2):131-3. doi: 10.1080/00015458.2002.11679281.

Abstract

The curative treatment of choice for myxomas is surgical removal. Most of the patients are young and active and are focused on postoperative comfort, cosmesis and a fast track to complete rehabilitation, all of which is related to the degree of invasiveness of the intervention. We report our first experience with video-assisted Port-Access surgery for atrial myxoma. From February 1997 until April 2000, nine patients (3M/6F)) had an atrial myxoma resection with the Heartport Endo-CPB and Endo-aortic clamp system. Mean age was 54 +/- 21.9 years. Most of the patients were symptomatic and had good LV function. Two patients had a combined procedure: one mitral valve replacement and one vascular shunt for dialysis. Mean aortic cross clamp time was 69 +/- 32.8 min and mean perfusion time was 103 +/- 42.7 min. There were no conversions to sternotomy. Three patients had minor complications. Mean ICU and hospital stay were 1 +/- 1.4 and 6 +/- 3.9 days respectively. No thromboembolic or peripheral ischaemic complications were observed. There were no hospital deaths. No recurrent tumors have been identified. The Port-Access approach for myxoma resection constitutes a invaluable alternative to sternotomy with the same gold standards of results and quality.

MeSH terms

  • Adult
  • Aged
  • Feasibility Studies
  • Female
  • Heart Atria / pathology
  • Heart Atria / surgery
  • Heart Neoplasms / pathology
  • Heart Neoplasms / surgery*
  • Humans
  • Male
  • Middle Aged
  • Myxoma / pathology
  • Myxoma / surgery*
  • Outcome Assessment, Health Care
  • Reproducibility of Results
  • Retrospective Studies
  • Video-Assisted Surgery*