Sano Madoka, Yoshida Kazufumi, Tsubota Hideki, Hara Shigeo, Koyama Tadaaki
Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.
Kyobu Geka. 2021 Feb;74(2):134-137.
Calcified amorphous tumor (CAT) is a nonneoplastic cardiac tumor that can be located in any of the four cardiac chambers, but is predominantly detected on the mitral valve. We report a rare case of CAT originating from the mitral and aortic valves. A 69-year-old woman with end-stage renal disease, hypertension, and diabetes mellitus was referred to our hospital for the evaluation of cardiac masses found incidentally on screening transthoracic echocardiography. She had no symptoms, including fever and neurological deficits, and her blood cultures were negative. Echocardiography revealed mobile masses arising from the mitral and aortic valves. We performed surgical excision and histopathologically diagnosed the masses with cardiac CATs. Mobile and pedunculated CAT frequently causes systemic embolization, and thus, complete surgical excision is recommended in such a case.
钙化性无定形肿瘤(CAT)是一种非肿瘤性心脏肿瘤,可位于四个心腔中的任何一个,但主要在二尖瓣上被检测到。我们报告了一例罕见的起源于二尖瓣和主动脉瓣的CAT病例。一名69岁患有终末期肾病、高血压和糖尿病的女性因经胸超声心动图筛查偶然发现心脏肿块而被转诊至我院。她没有包括发热和神经功能缺损在内的症状,血培养结果为阴性。超声心动图显示二尖瓣和主动脉瓣有活动肿块。我们进行了手术切除,并通过组织病理学诊断肿块为心脏CAT。活动的带蒂CAT常导致全身栓塞,因此,在这种情况下建议进行完整的手术切除。