Transcatheter Electrosurgical Loop Resection of a Right Ventricular Fibromyxoma

BACKGROUND: Surgical excision remains the standard of care for primary cardiac tumors. However, advances in catheter-based electrosurgical techniques have enabled minimally invasive resection of selected intracardiac masses. CASE SUMMARY: A 19-year-old male patient was identified with a neoplasm in the right ventricle after a medical evaluation. The possibility of performing a transfemoral excision of the tumor was taken into consideration, as the patient wanted to pursue a professional football career. Coagulation was used to remove the mass, and snare systems were used to entirely retrieve it. The procedure was technically successful without any complications. DISCUSSION: This method validates the technical viability of whole mass removal via venous access and broadens the use of transcatheter structural treatment of intracardiac masses. TAKE-HOME MESSAGES: Transcatheter removal of a right ventricular fibromyxoma may be a safe alternative to open surgery in certain patients. A successful outcome requires careful planning, precise visualization, and coordinated multidisciplinary teamwork.