Mobilization of the anterior mitral leaflet for excision of a left ventricular myxoma.

Talwalkar, N G; Livesay, J J; Treistman, B; Lacle, C E · Ann Thorac Surg · 1999

case_report · Level V

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Abstract

Left ventricular myxomas are extremely rare. We report use of a left atrial approach with mobilization of the anterior mitral valve leaflet to enhance exposure of the subvalvar region and facilitate excision of a left ventricular myxoma entangled within the chordal apparatus, lying between the anterolateral papillary muscle and the left ventricular wall. The detached mitral leaflet was reattached to the annulus with a continuous suture. The tumor was completely excised, thus avoiding a separate transventricular or transaortic approach.

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