초록접수 현황
| 20F-074 | 포스터 발표 |
Mitral Valve Myxoma in a Child
Hye Rim Na, Won Young Lee, Cheul Lee
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
Purpose : Cardiac tumors are uncommon relative to other organs of the body. Among them, the most common are myxomas, with 75% arising from the left atrium. Other locations are very rare. We report an unusual case of a young male with a large mxyoma originating from the mitral valve, who presented with fever and multiple embolism.
Methods : A 16-year-old male, presented to emergency department with fever, dysuria and multiple digital pain. Abdomen CT revealed bilateral kidney and splenic infarctions. Brain MRI confirmed acute embolic infarctions. However, no neurological signs were observed. Echocardiogram for evaluation of multiple embolism showed approximately 3 X 1.7 cm sized mobile mass attached to the ventricular side of the mitral valve anterior leaflet.
Results : The patient underwent an operation for tumor resection. A large (3 X 2 cm), friable, pedunculated mass, that was firmly attached to the mitral valve anterior leaflet free margin and primary chordae, was identified and resected. Pre-discharge echocardiography revealed no residual mass and normal mitral valve function. The patient was discharged on postoperative day 8 without complications. Pathologic examination confirmed mxyoma.
Conclusion : We have experienced a very rare case of mitral valve myxoma in a child. Follow-up is mandatory for possible tumor recurrence.
Methods : A 16-year-old male, presented to emergency department with fever, dysuria and multiple digital pain. Abdomen CT revealed bilateral kidney and splenic infarctions. Brain MRI confirmed acute embolic infarctions. However, no neurological signs were observed. Echocardiogram for evaluation of multiple embolism showed approximately 3 X 1.7 cm sized mobile mass attached to the ventricular side of the mitral valve anterior leaflet.
Results : The patient underwent an operation for tumor resection. A large (3 X 2 cm), friable, pedunculated mass, that was firmly attached to the mitral valve anterior leaflet free margin and primary chordae, was identified and resected. Pre-discharge echocardiography revealed no residual mass and normal mitral valve function. The patient was discharged on postoperative day 8 without complications. Pathologic examination confirmed mxyoma.
Conclusion : We have experienced a very rare case of mitral valve myxoma in a child. Follow-up is mandatory for possible tumor recurrence.
책임저자: Cheul Lee
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
발표자: 나혜림, E-mail : laurie1060@gmail.com