Transverse infundibulotomy for resection of a right ventricular outflow tract myxoma

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ID: 330682
2026
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Ranked #37 of 50 articles by views in Multimedia Manual of Cardio-Thoracic Surgery

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Abstract
A 25-year-old asymptomatic 64 kg female with an incidental heart murmur was found, on echocardiography, to have a 2 cm echogenic mass beneath the pulmonary valve, with a peak gradient of 11 mmHg and mild pulmonic regurgitation. Gated computed tomography angiogram showed that the mass was located within the infundibulum of the right ventricle, beneath the non-adjacent leaflet of the pulmonary valve. The tumour had a broad base attachment to the interventricular septum and was in close proximity to the left anterior descending artery. The patient underwent median sternotomy via a limited skin incision. Cardiopulmonary bypass was initiated via aortic, superior vena cava and femoral vein cannulation. After diastolic cardioplegic arrest, a transverse infundibulotomy was made. A firm, multilobulated tumour was excised en bloc with a shallow cuff of septal muscle, including a white pedunculated base and gelatinous yellow stalk. A feeding septal artery was oversewn. The infundibulotomy was closed in two layers with 5/0 polypropylene sutures. The heart was de-aired, the cross-clamp removed, and the procedure completed routinely.
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openalex_W7214896719 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors
Journal Multimedia Manual of Cardio-Thoracic Surgery
Year 2026
DOI
10.1510/mmcts.2026.068
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