초록접수 현황
| 19F-087 | 포스터 발표 |
Unusual Location of Cardiac Fibroelastoma ; Two Case Reports
Jae Hoon Lee¹, Eui Suk Chung¹, Sung Joon Park¹, Hyun-Jung Kim²
¹Department of Thoracic and Cardiovascular Surgery, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea, ²Department of Pathology, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea
Purpose : Papillary fibroelastomas are the second most common primary cardiac tumor in adults. Over 80 percent of fibroelastomas were found on the heart valves, usually on the left side of the heart while the remaining lesions were scattered throughout the atria and ventricles. We present two cases of cardiac fibroelastomas occurring on ventricular surface of the aortic valve and in the right ventricle.
Methods : Case 1 was a 61-year-old woman with hypermobile mass on the aortic valve which was detected during preoperative transthoracic echocardiography for her spine surgery. The patient underwent removal of the tumor by means of the simple shave technique preserving the aortic valve.
Case 2 was a 65-year-old man with severe aortic stenosis and ascending aortic aneurysm. Preoperative transthoracic echocardiography revealed highly mobile mass in the right ventricle. The patient underwent replacement of the aortic valve and ascending aorta with concomitant removal of the tumor.
Results : Intraoperative findings of the first case was a 0.9cm sized tumor attached to ventricular surface of non-coronary cusp of the aortic valve. The second case was 1.5cm sized tumor attached to the apex of the right ventricle. Pathologic findings of two cases revealed typical cardiac fibroelastoma. They were followed up at the outpatient clinic without recurrence of the tumor.
Conclusion : A presumptive diagnosis of papillary fibroelastoma can usually be made on echocardiography. Asymptomatic patients could be treated surgically if the tumor is mobile, as the tumor mobility is the independent predictor of death or nonfatal embolization.
Methods : Case 1 was a 61-year-old woman with hypermobile mass on the aortic valve which was detected during preoperative transthoracic echocardiography for her spine surgery. The patient underwent removal of the tumor by means of the simple shave technique preserving the aortic valve.
Case 2 was a 65-year-old man with severe aortic stenosis and ascending aortic aneurysm. Preoperative transthoracic echocardiography revealed highly mobile mass in the right ventricle. The patient underwent replacement of the aortic valve and ascending aorta with concomitant removal of the tumor.
Results : Intraoperative findings of the first case was a 0.9cm sized tumor attached to ventricular surface of non-coronary cusp of the aortic valve. The second case was 1.5cm sized tumor attached to the apex of the right ventricle. Pathologic findings of two cases revealed typical cardiac fibroelastoma. They were followed up at the outpatient clinic without recurrence of the tumor.
Conclusion : A presumptive diagnosis of papillary fibroelastoma can usually be made on echocardiography. Asymptomatic patients could be treated surgically if the tumor is mobile, as the tumor mobility is the independent predictor of death or nonfatal embolization.
첨부파일 : Figure.pptx
책임저자: Jae Hoon Lee
Department of Thoracic and Cardiovascular Surgery, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea
발표자: Jae Hoon Lee, E-mail : hoiseljh@hanmail.net