Masuda Shinya, Motoyoshi Naotaka, Ito Koki, Hayatsu Yukihiro, Akiyama Masatoshi, Kawamoto Shunsuke, Saiki Yoshikatsu
Division of Cardiovascular Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryocho, Aoba-ku, Sendai, 980-8574, Japan.
Surg Case Rep. 2015 Dec;1(1):39. doi: 10.1186/s40792-015-0040-6. Epub 2015 May 1.
A cardiac calcified amorphous tumor (CAT) localized to the mitral valve leaflet without mitral annular calcification (MAC) is a rare entity. We report a case of a 69-year-old woman with such a condition, who underwent successful excision of the tumor and mitral valvuloplasty using a glutaraldehyde-treated autologous pericardium. During 38 months of follow-up, no recurrence of a cardiac mass has been recognized. This report addresses questions on the surgical indication for CAT, particularly in cases without MAC, and reviews CATs of the mitral valve.
局限于二尖瓣叶且无二尖瓣环钙化(MAC)的心脏钙化性无定形肿瘤(CAT)是一种罕见的实体。我们报告一例69岁患有这种疾病的女性病例,她成功接受了肿瘤切除,并使用经戊二醛处理的自体心包进行二尖瓣成形术。在38个月的随访期间,未发现心脏肿物复发。本报告探讨了CAT的手术指征问题,特别是在无MAC的病例中,并对二尖瓣CAT进行了综述。