A Case Series of Minimally Invasive Robotic-Assisted Resection of Cardiac Papillary Fibroelastoma: The Mayo Clinic Experience

Ali Ahmad MD , Edward A. El-Am MD , Piotr Mazur MD, PhD , Elias Akiki MD , Ahmed A. Sorour MD , Reto D. Kurmann MD , Kyle W. Klarich MD , Arman Arghami MD, MPH , Phillip G. Rowse MD , Richard C. Daly MD , Joseph A. Dearani MD
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Abstract

Papillary fibroelastomas (PFEs) are small, slowly growing benign cardiac tumors with clinically significant risk of embolization. Surgical excision is the definitive treatment of symptomatic PFE and is conventionally performed through a median sternotomy. In this study, we report a series of 12 patients, who underwent robotic-assisted PFE removal at the Mayo Clinic. PFE involved the mitral valve, left atrium, and tricuspid valve. No major complications occurred after the procedure, and most patients were discharged 4 days after the surgery. On follow-up, 1 patient demonstrated pericarditis.

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机器人辅助微创切除心脏乳头状纤维母细胞瘤病例系列:梅奥诊所的经验
乳头状纤维母细胞瘤(PFE)是一种生长缓慢的小型良性心脏肿瘤,临床上有明显的栓塞风险。手术切除是治疗无症状 PFE 的最终方法,传统上通过胸骨正中切口进行。在本研究中,我们报告了在梅奥诊所接受机器人辅助 PFE 切除术的 12 例患者。PFE 涉及二尖瓣、左心房和三尖瓣。术后未出现重大并发症,大多数患者术后4天即可出院。随访中,1 名患者出现心包炎。
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Mayo Clinic proceedings. Innovations, quality & outcomes
Mayo Clinic proceedings. Innovations, quality & outcomes Surgery, Critical Care and Intensive Care Medicine, Public Health and Health Policy
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