Abstract
We are witnessing an ongoing worldwide paradigm shift from conventional sternotomy access towards minimally invasive cardiac surgery ( MICS ). Endoscopic port access surgery ( EPAS ) is well established for the safe and durable resection of atrial myxoma ( AM ) and considered, by experienced surgeons to be a good MICS training platform once the initial EPAS learning curves are mastered. We report on the successful EPAS resection of an 8.5cm obstructive left AM in an 81-year-old patient, which is to our knowledge, the largest AM ever resected by robotic, or endoscopic, cardiac surgery. Post-operative recovery was uneventful and the patient was discharged home on the fi fth post-operative day. Clinical and echocardiographic follow-up at 12 months confi rmed an excellent functional recovery and the absence of residual or recurrent, tumour. This case aims to provide insights into the advantages and limitations of this approach.
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