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Removal of a Left Atrial Myxoma With a Ministernotomy
Gaudiani V, Tsau P. Removal of a Left Atrial Myxoma With a Ministernotomy. August 2025. doi:10.25373/ctsnet.29935868
This video features Dr. Vince Gaudiani demonstrating the technique he uses for removing a left atrial myxoma. He performed a mini upper sternotomy and then highlighted how important it was to avoid any manipulations of the heart until the heart was cross-clamped to prevent any debris from being displaced and embolized.
Once cross-clamped, cardioplegia was administered, and a vent was placed. The tumors are usually attached to the interatrial septum, so Dr. Gaudiani prefers to excise the interatrial septum with a large margin because it is easy to close an atrial septal defect (ASD) either with a patch or primarily.
This large tumor was difficult to remove in one piece, and upon the removal of the 5.4 cm tumor, its friable nature can easily be seen.
The ASD was closed with a view of the septum secundum and the case was finished.
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