• Department of Cardiothoracic Surgery, Affiliated Hospital of Luzhou Medical College, Luzhou 646000, Sichuan, P. R. China;
YUFeng-xu, Email: yuluchuan@163.com
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Objective To investigate clinical outcomes and safety of minimally invasive left atrial myxoma (LAM) resection via right anterolateral minithoracotomy (ALMT). Methods Clinical data of 9 patients who underwent minimally invasive LAM resection via right ALMT in the Affiliated Hospital of Luzhou Medical College from January 2011 to October 2013 were retrospectively analyzed. There were 2 male and 7 female patients with their age of 37-62 (51±9) years. The operation was performed through a small (4-6 cm) right ALMT incision. Femoral artery and vein and superior vein were cannulated to establish cardiopulmonary bypass (CPB). Transthoracic clamp was used for ascending aortic clamping. Antegrade cold blood cardioplegia was infused for myocardial protection. LAM was resected through right atriotomy trans-septal approach. Results All the operations were successfully performed without in-hospital death. Operation time was 210-310(260±33) minutes, aortic cross-clamping time was 23-50(37±9) minutes, CPB time was 60-87(71±9) minutes, postoperative mechanical ventilation time was 6-14(9.0±2.5) hours, and length of ICU stay was 17-26(20±3) hours. Postoperative mediastinum drainage was 100-650(376±190) ml. Mean length of right ALMT was 4.5-6.0 (5.3±0.6) cm. All the patients were followed up for 1 to 30 months,and echocardiography showed no LAM recurrence. Conclusion Minimally invasive LAM resection via right ALMT is safe and feasible with satisfactory clinical outcomes.

Citation: LIUHong-duan, LIXin, YUFeng-xu, DENGMing-bin. Clinical Outcomes of Left Atrial Myxoma Resection via Right Anterolateral Minithoracotomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(1): 36-38. doi: 10.7507/1007-4848.20150011 Copy

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