Simple Excision for Cardiac Fibroelastomas Arising from Three Leaflets of the Aortic Valve
10.4326/jjcvs.45.41
- VernacularTitle:大動脈弁三尖より発生した心臓乳頭状線維弾性腫に対する手術経験
- Author:
Yuichiro Hirata
;
Keiichiro Tayama
;
Koichiro Shimoishi
;
Yusuke Shintani
;
Hidetsugu Hori
;
Teiji Okazaki
;
Kenichi Kosuga
- Publication Type:Journal Article
- Keywords:
cardiac papillary fibroelastoma;
aortic valve tumor;
cardiac tumor
- From:Japanese Journal of Cardiovascular Surgery
2016;45(1):41-44
- CountryJapan
- Language:Japanese
-
Abstract:
Cardiac papillary fibroelastomas are rare but are still the second most common benign cardiac tumor ; after myxoma. While cardiac papillary fibroelastomas are benign, there is the potential for severe complications related to embolism. Consequently, a surgical treatment approach is generally recommended. Nevertheless, from the risk of the recurrence of tumor and the valve insufficiency, the excision range is still controversial, particularly with tumors arising from the valve. We report the case of a 66-year-old woman who underwent resection of cardiac papillary fibroelastomas arising from three leaflets of the aortic valves. We performed simple excision without valve surgery and obtained an uneventful prognosis. At 18 months after surgery, no recurrence of tumors was recognized. We consider that it is possible to resect cardiac papillary fibroelastomas without performing valve repair or replacement if they are removed carefully even if the tumors arise from three leaflets of an aortic valve.
