PMID- 11016380
OWN - NLM
STAT- MEDLINE
DCOM- 20001017
LR  - 20190628
IS  - 0003-4975 (Print)
IS  - 0003-4975 (Linking)
VI  - 70
IP  - 3
DP  - 2000 Sep
TI  - Minimal access approach for surgical management of cardiac tumors.
PG  - 1077-9
AB  - BACKGROUND: Following our experience with minimally invasive valve replacement 
      operation, we utilized this technique for surgical management of cardiac tumors. 
      METHODS: Between April 1997 and September 1999, 5 consecutive patients with 
      cardiac tumors underwent minimally invasive excision of the tumors. The patients 
      were 4 women and 1 man with an age range of 32 to 50 years. The tumor was located 
      in the left atrium in 4 patients and the right atrium in 1 patient. The common 
      presenting symptoms were dyspnea on exertion (100%), chest pain (60%), 
      palpitation (60%), and transient ischemic attack (20%). Diagnosis was established 
      preoperatively by echocardiography only. RESULTS: In 2 patients the approach was 
      right parasternal and the subsequent 3 patients had direct-access partial 
      sternotomy. The myxoma was resected transseptally in all patients. There was no 
      hospital mortality. One patient had postoperative embolic episode leading to left 
      hemiparesis. Follow-up did not reveal any complication related to this technique 
      and all were in New York Heart Association (NYHA) functional class I. 
      CONCLUSIONS: Minimal access partial sternotomy is an effective approach that 
      adheres to all the identified surgical principles in successful removal of these 
      tumors. The smaller incision does not compromise the efficacy or safety of the 
      operation, reduces hospital stay, and has a good cosmetic result.
FAU - Ravikumar, E
AU  - Ravikumar E
AD  - Department of Thoracic and Cardiovascular Surgery, Christian Medical College 
      Hospital, Vellore, India. eravikumar@hotmail.com
FAU - Pawar, N
AU  - Pawar N
FAU - Gnanamuthu, R
AU  - Gnanamuthu R
FAU - Sundar, P
AU  - Sundar P
FAU - Cherian, M
AU  - Cherian M
FAU - Thomas, S
AU  - Thomas S
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Ann Thorac Surg
JT  - The Annals of thoracic surgery
JID - 15030100R
SB  - IM
MH  - Adult
MH  - Echocardiography
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Atria
MH  - Heart Neoplasms/diagnostic imaging/*surgery
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Minimally Invasive Surgical Procedures/*methods
MH  - Myxoma/*surgery
MH  - Postoperative Complications
MH  - Sternum/surgery
EDAT- 2000/10/04 11:00
MHDA- 2000/10/21 11:01
CRDT- 2000/10/04 11:00
PHST- 2000/10/04 11:00 [pubmed]
PHST- 2000/10/21 11:01 [medline]
PHST- 2000/10/04 11:00 [entrez]
AID - S0003-4975(00)01805-1 [pii]
AID - 10.1016/s0003-4975(00)01805-1 [doi]
PST - ppublish
SO  - Ann Thorac Surg. 2000 Sep;70(3):1077-9. doi: 10.1016/s0003-4975(00)01805-1.