Papillary Fibroelastoma Complicated with Ischemic Heart Disease and Arteriosclerosis Obliterans Treated Successfully by Surgery
10.4326/jjcvs.36.12
- VernacularTitle:虚血性心疾患・閉塞性動脈硬化症に合併した乳頭状線維弾性腫に対して冠動脈バイパス術および腫瘤摘出術を施行した１例
- Author:
Takeshi Shimamoto
;
Toshifumi Takeuchi
;
Hiroyuki Nakajima
;
Akiyoshi Mikuriya
;
Motoyuki Oda
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2007;36(1):12-14
- CountryJapan
- Language:Japanese
-
Abstract:
A 67-year-old man had been followed up in our cardiology clinic for ischemic foot, and routine echocardiography revealed an 8×9mm highly echogenic mass on the mitral posterior leaflet. Because of the high thromboembolic risk, open-heart surgery was scheduled for surgical treatment of the tumor. His preoperative coronary angiogram showed 3 vessel disease. Coronary artery bypass grafting and tumor removal were performed consequently. His postoperative course was uneventful and the lesion was pathologically diagnosed a papillary fibroelastoma. No recurrence has occurred one year after the operation. Surgical treatment of cardiac tumors is mandatory for preventing embolism regardless of the size and location. Most of the tumors on cardiac valves are papillary fibroelastomas and recurrence of this tumor has not been reported so far. When the tumor is attached to a mitral leafet, simple tumor resection, with or without mitral valve repair, is justified instead of performing mitral replacement with en bloc resection of tumors and the entire leaflets.
