Aortic Valve Myxoma in a Young Man: A Case Report and Review of Literature

Authors

  • Zhenchun Ji Department of Cardiovascular Surgery of the First Affiliated Hospital and Institute for Cardiovascular Science, Soochow University, Suzhou,
  • Longgang Wang Department of Cardiovascular Surgery of the First Affiliated Hospital and Institute for Cardiovascular Science, Soochow University, Suzhou,
  • Jiacheng Sun Department of Cardiovascular Surgery of the First Affiliated Hospital and Institute for Cardiovascular Science, Soochow University, Suzhou,
  • Wenxue Ye Department of Cardiovascular Surgery of the First Affiliated Hospital and Institute for Cardiovascular Science, Soochow University, Suzhou,
  • Yunsheng Yu Department of Cardiovascular Surgery of the First Affiliated Hospital and Institute for Cardiovascular Science, Soochow University, Suzhou,
  • Haoyue Huang Department of Cardiovascular Surgery of the First Affiliated Hospital and Institute for Cardiovascular Science, Soochow University, Suzhou,
  • Yanqiu Hu Department of Cardiovascular Surgery of the First Affiliated Hospital and Institute for Cardiovascular Science, Soochow University, Suzhou,
  • Ziying Yang Department of Cardiovascular Surgery of the First Affiliated Hospital and Institute for Cardiovascular Science, Soochow University, Suzhou,
  • Zhenya Shen Department of Cardiovascular Surgery of the First Affiliated Hospital and Institute for Cardiovascular Science, Soochow University, Suzhou,

DOI:

https://doi.org/10.1532/hsf.1772

Abstract

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.

References

Abad C, Novoa J, Delgado A, Alonso A. 2014. Myxoma of the left ventricle. Texas Heart Institute J 41:395-400.

Carney JA. 1985. Differences between nonfamilial and familial cardiac myxoma. Am J Surgical Path 9:53-5.

Dyk W, Konka M. 2009. Images in cardiothoracic surgery. Unusual complication of aortic valve grape-like myxoma. Annals Thoracic Surg 88:1022.

Eslami-Varzaneh F, Brun EA, Sears-Rogan P. 2003. An unusual case of multiple papillary fibroelastoma, review of literature. Cardiovasc Path 12:170-3.

Fernandez AL, Vega M, El-Diasty MM, Suarez JM. 2012. Myxoma of the aortic valve. Interactive cardiovascular and thoracic surgery 15:560-2.

Javed A, Zalawadiya S, Kovach J, Afonso L. 2014. Aortic valve myxoma at the extreme age: a review of literature. BMJ case reports. Epub 2014/03/20.

Kennedy P, Parry AJ, Parums D, Pillai R. 1995. Myxoma of the aortic valve. Annals Thorac Surg 59:1221-3.

Kim HY, Kwon SU, Jang WI, et al. 2012. A rare case of aortic valve myxoma: easy to confuse with papillary fibroelastoma. Korean Circulation J 42:281-3.

Koyalakonda SP, Mediratta NK, Ball J, Royle M. 2011. A rare case of aortic valve myxoma: an unusual cause of embolic stroke. Cardiology 118:101-3.

McAllister HA, Jr, Hall RJ, Cooley DA. 1999. Tumors of the heart and pericardium. Current Problems in Cardiol 24:57-116.

Okamoto T, Doi H, Kazui T, et al. 2006. Aortic valve myxoma mimicking vegetation: report of a case. Surgery today. 36:927-9.

Peters PJ, Reinhardt S. 2006. The echocardiographic evaluation of intracardiac masses: a review. J Am Society Echocardiograph 19:230-40.

Prifti E, Ademaj F, Kajo E, Baboci A. 2015. A giant myxoma originating from the aortic valve causing severe left ventricular tract obstruction: a case report and literature review. World journal of surgical oncology. 13:151.

Ramsheyi A, Deleuze P, D’Attelis N, Bical O, Lefort JF. 1998. Aortic valve myxoma. J Cardiac Surg 13:491-3.

Reynen K. 1995. Cardiac myxomas. New England J Med 333:1610-7.

Waller BF, Grider L, Rohr TM, McLaughlin T, Taliercio CP, Fetters J. 1995. Intracardiac thrombi: frequency, location, etiology, and complications: a morphologic review--Part I. Clinical Cardiol 18:477-9.

Watarida S, Katsuyama K, Yasuda R, et al. 1997. Myxoma of the aortic valve. Annals Thoracic Surg 63:234-6.

Wold LE, Lie JT. 1980. Cardiac myxomas: a clinicopathologic profile. Am J Pathology 101:219-40.

Published

2017-04-30

How to Cite

Ji, Z., Wang, L., Sun, J., Ye, W., Yu, Y., Huang, H., Hu, Y., Yang, Z., & Shen, Z. (2017). Aortic Valve Myxoma in a Young Man: A Case Report and Review of Literature. The Heart Surgery Forum, 20(2), E066-E068. https://doi.org/10.1532/hsf.1772

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