Okamoto Takashi, Doi Hirosato, Kazui Toshinobu, Suzuki Masato, Koshima Ryuji, Yamashita Takehiro, Sugiki Kenji, Ohno Takemi
Departments of Cardiovascular Surgery, Cardiovascular Center, Hokkaido Ohno Hospital, 1-30, 4-1 Nishino, Sapporo, Hokkaido 063-0034, Japan.
Surg Today. 2006;36(10):927-9. doi: 10.1007/s00595-006-3273-y.
We report a case of cardiac myxoma of the aortic valve. To our knowledge, this represents only the seventh such case ever documented. A 61-year-old woman underwent an echocardiography to screen for hypertensive-diabetic cardiac complications, which showed a mass on her aortic valve. Although she had not experienced a fever, the mass closely resembled a vegetation, resulting in an initial diagnosis of infective endocarditis. We extirpated the mass and repaired the aortic valve with the patient under cardiopulmonary bypass. The postoperative course was uneventful. Histological examination confirmed that the mass was a myxoma.
我们报告一例主动脉瓣心脏黏液瘤病例。据我们所知,这是有记录以来的第七例此类病例。一名61岁女性接受超声心动图检查以筛查高血压糖尿病性心脏并发症,结果显示其主动脉瓣上有一个肿块。尽管她没有发烧,但该肿块与赘生物非常相似,因此初步诊断为感染性心内膜炎。我们在体外循环下为患者切除了肿块并修复了主动脉瓣。术后过程顺利。组织学检查证实该肿块为黏液瘤。