AI Article Synopsis

  • The median sternotomy is the typical method used in cardiovascular surgery, but it can be challenging in patients with past surgery on the esophagus.
  • This report details a successful procedure to remove a left atrial myxoma using a right anterolateral thoracotomy in a patient who had a retrosternal gastric tube reconstruction.
  • The surgical team carefully chose this approach for optimal access and successfully removed the myxoma without damaging the surrounding gastric tube.

Article 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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5701104PMC
http://dx.doi.org/10.21470/1678-9741-2016-0056DOI Listing

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