Surgery for benign tumor of the heart (myxoma) without opening the rib cage
Myxomas are benign tumors of the heart, but they require surgical removal because they have the potential to grow, are mobile, and pose a risk of embolism (clot formation).
Myxoma is a benign connective tissue tumor that often occurs in the heart. Under certain conditions, it can lead to strokes, vascular occlusions, or embolisms.
In this 28-year-old male patient, this tumor caused paralysis one year before surgery.
Surgical technique:
A minimally invasive, total endoscopic procedure was used to remove a myxoma located in the left ventricle. The patient was connected to a heart-lung machine via the femoral veins (groin). An inflatable balloon called a heart port endoclamp system was then inserted into the aorta via the groin veins to stop blood flow to the heart and arrest the heart with a potassium solution.
The instruments and endoscopic camera were inserted through three accesses into the intercostal spaces (spaces between the ribs). The double-lumen pulmonary catheter caused controlled collapse of the right lung. This provided the surgeon with a clear operating field. Once the left ventricle was opened, the tumor removal was successful.
Conclusion :
There were no complications and the patient was discharged three days later with excellent cosmetic results. After the surgery, there was no large scar on his chest, no tension on the bones and therefore much less pain.
Special cardiosurgical endoscopy devices such as surgical robots require a lot of cost and space, so our team used traditional endoscopy instruments from general surgery for the first time. However, this procedure can only be applied to selected patients.