Totally endoscopic robotic-assisted excision of right ventricular papillary fibroelastoma


Although they comprise a small number of primary tumors of the heart, papillary fibroelastomas (PFEs) are the second most common type of benign cardiac tumor. PFEs of the right heart are uncommon, and those arising from the right-ventricular (RV) wall are extremely rare, with only a handful of reported cases in the literature. Removal of these tumors has been described, primarily through a median sternotomy approach, with only one report of using a right-sided mini-thoracotomy technique. The advantages of endoscopic robotic-assisted cardiac surgery have been demonstrated and described extensively. We report on a case of an incidentally found PFE in the RV that was successfully removed with a totally endoscopic robotic-assisted approach. The focus of our report is on the uniqueness of both the right-sided nonvalvular PFE and the treatment with a robotic totally endoscopic surgical approach.

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Corresponding author

Correspondence to Husam H. Balkhy.

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Conflict of interest

Author Husam Balkhy, MD is a proctor for Intuitive Surgical, manufacturer of the Da Vinci robot. Author Sarah Nisivaco declares that she has no conflict of interest. Author Michael Henry, MD declares that he has no conflict of interest. Author Parker Ward, MD declares that he has no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study. Written informed consent was obtained from the patient for publication of this Case Report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.

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Nisivaco, S., Henry, M., Ward, R.P. et al. Totally endoscopic robotic-assisted excision of right ventricular papillary fibroelastoma. J Robotic Surg 13, 779–782 (2019).

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  • Cardiac tumor
  • Papillary fibroelastoma
  • Robotics
  • Minimally invasive surgery
  • Cardiac surgery
  • Right ventricle mass