Ji Zhenchun, Wang Longgang, Sun Jiacheng, Ye Wenxue, Yu Yunsheng, Huang Haoyue, Hu Yanqiu, Yang Ziying, Shen Zhenya
Department of Cardiovascular Surgery of the First Affiliated Hospital and Institute for Cardiovascular Science, Soochow University, Suzhou.
Heart Surg Forum. 2017 Apr 30;20(2):E066-E068. doi: 10.1532/hsf.1772.
Myxoma is the most commonly found cardiac primary tumor. The left atrium is the most common localization of myxoma, followed by the right atrium. However, it is rare in the left and right ventricles. Myxoma originating from cardiac valves is extremely rare. This article presents a case of a 17-year-old male who was admitted due to heart murmur for one year. Transthoracic echocardiography indicated a 1.9 cm round solid mass in the left ventricular outflow tract. Excision surgery and aortic valve replacement were performed in this patient. Histopathology revealed the mass as a myxoma. The aortic valve remains a very rare myxoma localization position. Echocardiography can provide a precise method for myxoma diagnosis. Early excision associated with valve replacement can provide good curative effects.
黏液瘤是最常见的心脏原发性肿瘤。左心房是黏液瘤最常见的发病部位,其次是右心房。然而,在左、右心室中较为罕见。起源于心脏瓣膜的黏液瘤极为罕见。本文报道了一例17岁男性患者,因心脏杂音1年入院。经胸超声心动图显示左心室流出道有一个1.9厘米的圆形实性肿块。该患者接受了切除手术和主动脉瓣置换术。组织病理学检查显示该肿块为黏液瘤。主动脉瓣仍是黏液瘤非常罕见的发病部位。超声心动图可为黏液瘤诊断提供精确方法。早期切除并进行瓣膜置换可取得良好疗效。