Mayo Clinic Proceedings: Innovations, Quality & Outcomes (Apr 2024)

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

Journal volume & issue
Vol. 8, no. 2
pp. 143 – 150

Abstract

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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.