%0 Case Reports
%T Excision of left atrial myxoma under perfused ventricular fibrillation with hypothermia after coronary artery bypass grafting.
%A Pan S
%A Wang Y
%A Gu Y
%A Li W
%A Xu H
%J J Cardiothorac Surg
%V 18
%N 1
%D 2023 Oct 10
%M 37817215
%F 1.522
%R 10.1186/s13019-023-02400-4
%X <B>BACKGROUND: </B>Redo heart surgery has become increasingly common but involves additional high surgical risk, especially redo surgery after coronary artery bypass grafting (CABG).<BR><B>METHODS: </B>In this study, we report the case of a 57-year-old Chinese male with left atrium myxoma who had previously undergone CABG. Common surgical methods usually include aortic cross-clamping, administering cold cardioplegia perfusion to protect the myocardium, opening the heart, and then removing the tumor. However, for patients with previous CABG, redo thoracotomy and ascending aortic cross-clamping present a greater risk of damage to the grafted vessels. In this study, we chose a right lateral mini-thoracotomy incision and hypothermia-induced ventricular fibrillation to minimize damage and avoid any adverse effects on the bridge vasculature. The patient recovered uneventfully and was discharged seven days after surgery.<BR><B>CONCLUSIONS: </B>For patients with previous CABG, minimally invasive right thoracotomy under perfused ventricular fibrillation with hypothermia is safe and reliable and can prevent potential damage to the ascending aorta and graft.