Radical Bi-Atrial Resection Via a Modified Superior Transseptal Approach for a Giant Left Atrial Tumor

Kevin Lim; Jacky Yan Kit Ho; Simon Chi Ying Chow; Takuya Fujikawa; Randolph Hung Leung Wong

doi:10.1016/j.jaccas.2024.102683

Radical Bi-Atrial Resection Via a Modified Superior Transseptal Approach for a Giant Left Atrial Tumor

JACC Case Rep. 2024 Nov 6;29(21):102683. doi: 10.1016/j.jaccas.2024.102683.

Authors

Kevin Lim¹, Jacky Yan Kit Ho¹, Simon Chi Ying Chow¹, Takuya Fujikawa¹, Randolph Hung Leung Wong¹

Affiliation

¹ Division of Cardiothoracic Surgery, Prince of Wales Hospital, Hong Kong China.

Abstract

Complete surgical excision for extensive left atrial tumors are technically demanding procedures because of limited surgical corridor. We report a case of a giant left atrial ancient schwannoma in a 67-year-old woman, who underwent extensive bi-atrial and interatrial septal resection and reconstruction without auto-transplantation via a modified superior trans-septal approach.

Keywords: atrial fibrillation; atrial septal defect; imaging.