Surgeons at a leading tertiary care centre in Chennai, India, have achieved a significant milestone in cardiac surgery by performing the country’s first endoscopic keyhole excision of a left ventricular tumor, an accomplishment that marks a new era in minimally invasive intracardiac interventions. The patient, a 45-year-old woman, was referred to the cardiac team after imaging studies, including a cardiac MRI, identified a 1.6 × 1.5 cm mass within the left ventricle, an exceptionally rare location with an estimated incidence of one in 20–30 million individuals.
Primary cardiac tumors themselves account for only 0.6% of cardiac surgical workload in India, making this case both clinically challenging and unusual. Despite the rarity and complexity of left ventricular tumors, surgeons opted against a conventional sternotomy and instead pursued a fully endoscopic approach using small…
