Fig. 5

Intraoperative view at the time of complete resection. a Post full median sternotomy view. Patient’s head is at the top. Tumor covering by white epicardium. A black arrow indicates epicardia closing stitches placed at the time of incisional biopsy. b A resected glistening grey-red elastic hard right ventricular tumor. c Cut surface of excised right ventricular tumor which is gray, fibrous and trabeculated with gritty calcified specks. d Post tumor resection view showing a large defect in right ventricular free wall (black arrow). e First prosthetic patch (black arrow) sutured from right ventricular cavity side. f Second prosthetic patch (black arrow) placed to secure the defect closure. T: Tumor