A Rare Reason of Cardiogenic Shock and Acute Myocardial Infarction: Aortic Valve Myxoma

Authors

  • Xianfeng Cheng Department of Cardiac Surgery, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China
  • Dawei Shen Department of Neurosurgery, Yidu Central Hospital of Weifang, Weifang, China
  • Jie Zhang Department of Cardiovascular Surgery, Weifang People’s Hospital, Weifang, China
  • Tao Zhang Department of Cardiovascular Surgery, Shandong Provincial Hospital Affiliate to Shandong First Medical University, Jinan, China

DOI:

https://doi.org/10.1532/hsf.4015

Keywords:

aortic valve myxoma, cardiogenic shock, acute myocardial infarction

Abstract

Aortic valve myxoma is a rare benign cardiac neoplasm. The association of aortic valve myxoma with cardiogenic shock and acute myocardial infarction has been reported in few observations. We report the case of a 19-year-old male patient, who underwent chest pain for two weeks, then further examinations indicated a soft spherical mass on the left coronary cusp. The patient had sporadic cardiogenic shock and acute myocardial infarction during the preoperative preparation, and we carried out emergency effective cardiopulmonary resuscitation (CPR), followed by emergency surgical operation for aortic valve tumor.

Postoperative pathology showed it was a myxoma. The patient recovered smoothly and was discharged on postoperative day 7. Cardiogenic shock and acute myocardial infarction are very nonspecific, and we should be aware that patients with cardiogenic shock and acute myocardial infarction possibly suffer from aortic valve myxoma.

References

Azevedo O, Almeida J, Nolasco T, et al. 2010. Massive right atrial myxoma presenting as syncope and exertional dyspnea: case report. Cardiovasc Ultrasound. 8:23.

Edvin P, Fadil A, Efrosina K, et al. 2015. A giant myxoma originating from the aortic valve causing severe left ventricular tract obstruction: a case report and literature review. World J Surg Oncol. 13:151.

Fernandez AL, Vega M, El-Diasty MM. 2012. Myxoma of the aortic valve.

Interact Cardiovasc Thorac Surg. 15:560-2.

Reardon MJ, Smythe WR. 2003. Cardiac neoplasms. In: Cohn LH, Edmunds LH(eds). Cardiac Surgery in the Adult. New York: McGraw-Hill. 1373–400.

Reynen K. 1995. Cardiac myxomas. N Engl J Med. 333:1610-7.

Wold LE, Lie JT. 1980. Cardiac myxomas: a clinico-pathologic profile. Am J Pathol. 101:219–33.

Zhenchun J, Longgang W, Jiacheng S, et al. 2017. Aortic Valve Myxoma in a Young Man: A Case Report and Review of Literature. Heart Surg Forum. 20:E066-E068.

Published

2021-10-07

How to Cite

Cheng, X., Shen, D., Zhang, J., & Zhang, T. (2021). A Rare Reason of Cardiogenic Shock and Acute Myocardial Infarction: Aortic Valve Myxoma. The Heart Surgery Forum, 24(5), E860-E862. https://doi.org/10.1532/hsf.4015

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Section

Articles