The Simplified Extraction of Atrial Tumor With Targeted Loop Electricity (SEATTLE) Procedure.

Publication Title

JACC Case Rep

Authors

Zachary L Steinberg
David Elison
Logan L Vincent, Providence Heart and Vascular Institute, Providence St. Vincent Medical Center, Portland, Oregon, USAFollow
Donald Oxorn
James M McCabe

Document Type

Article

Publication Date

3-15-2023

Keywords

oregon; portland; cards; cards publication

Abstract

The removal of intramyocardial masses has long been thought of as a surgical procedure and is generally reserved for patients with obstructive symptoms when the mass is thought to be benign. Thus, many patients who are incidentally diagnosed with intracardiac masses are either subjected to protracted follow-up with serial imaging awaiting tumor growth before surgical excision is ultimately offered. We report a novel procedure in which a 54-year-old man with an atrial myxoma underwent successful percutaneous resection using electrosurgery followed by removal with a novel endovascular retrieval system. This approach provides an alternative to either surgical excision or watchful waiting in patients with small- to medium-sized intracardiac tumors. (Level of Difficulty