Cardioscopy-Assisted Removal of Intracavitary Left Ventricular Papillary Fibroelastoma

A 72-year-old woman was incidentally discovered to have a left ventricular mass during work-up for coronary artery bypass grafting surgery. Cardiac MR revealed a 2-cm left ventricular intracavitary mass. During concomitant coronary artery bypass grafting surgery, a 30-degree laparoscope was placed through the left ventricular outflow tract (LVOT) to visualize the mass. The mass was resected through the LVOT with a combination of focused electrocautery and shears. Histopathologic examination revealed a papillary fibroelastoma. Laparoscopic camera and thoracoscopic instruments can be useful for resection of benign, mobile intracavitary cardiac tumors.