74 year gentleman recently had upper limb surgery for fracture forearm
Presented with 5 x 5 cm Large LA myxoma
CAG showed critical PROXIMAL calcified RCA disease with insignificant LAD disease ( confirmed on cardiac PET )
LA MYXOMA was attached to the roof of LA and partially obstructing the Mitral Valve
MICS right anterior thoractomy with RIMA harvest LA MYXOMA biatrial approach for excision
RIMA to RCA, All achieved with single 5 cm incision
Patient discharged on day 6 of surgery
MICS right anterior thoracotomy is an excellent tool for ASD ,VSD,TV repair or replacement, LA and RA MYXOMA, Mitral Valve repair or replacement, LA or biatrial MAZE