10.25373/ctsnet.6965513.v1 Mariano Camporrotondo Mariano Camporrotondo Manuel Roque Cervetti Manuel Roque Cervetti Alvaro Muñoz Alvaro Muñoz Mario Emir Acosta Mario Emir Acosta Miguel Angel Chiappe Miguel Angel Chiappe Juan Mariano Vrancic Juan Mariano Vrancic Fernando Piccinini Fernando Piccinini Daniel Navia Daniel Navia Mitral Valve: Resection of Fibroelastoma by a Minimally Invasive Approach CTSNet 2018 Cardiac Mitral Valve Fibroelastoma Minimally Invasive Surgery 2018-08-21 16:56:46 Media https://ctsnet.figshare.com/articles/media/Mitral_Valve_Resection_of_Fibroelastoma_by_a_Minimally_Invasive_Approach/6965513 The patient was a 35-year-old woman. She had a cardiovascular history of obesity and an ischemic stroke with a right brachiocrural focus and expressive aphasia in 2012-2013. She continues to have a slight sequel in speech. The transthoracic echocardiogram showed a pedicled image adhered to the ventricular surface of segment P2 of the mitral valve posterior leaflet. The authors decided to perform a resection of this fibroelastoma by a minimally invasive approach. They made a small anterolateral incision in the fourth right intercostal space, used HTK monodose cardioplegia, and carried out arterial and venous cannulation via the femoral route. The patient had a good recovery without complications. No transfusions or inotropic drugs were required. She stayed in intensive care for 24 hours and was discharged on the fourth day after surgery.