Valve-Sparing Excision of Multiple Papillary Fibroelastomas in the Aortic Valve and Left Ventricular Outflow Tract
- VernacularTitle:大動脈弁および左室流出路に発生した多発性乳頭状弾性線維腫に対して自己弁温存腫瘍切除術を施行した症例
- Author:
Kazuhiro UENO
1
;
Shingo HIRAO
1
;
Jota NAKANO
1
;
Go YAMASHITA
1
;
Atsushi SUGAYA
1
;
Tatsuhiko KOMIYA
1
Author Information
- Keywords: cardiac tumor; papillary fibroelastoma; multiple; tumor excision; valve-sparing
- From:Japanese Journal of Cardiovascular Surgery 2023;52(3):163-167
- CountryJapan
- Language:Japanese
- Abstract: Primary cardiac fibroelastoma is a relatively rare tumor and is often detected incidentally by echocardiography. We report a case of multiple fibroelastomas that were found incidentally by follow-up echocardiography for hypertrophic cardiomyopathy and were treated with valve-sparing excision. The patient was a 71-year-old man, in whom a 10-mm tumor on the ventricular septum below the right coronary cusp and 3-mm tumors on the left ventricular side of the left and right coronary cusps were detected. Although he had no symptoms, because the tumors were mobile, surgery was performed for preventing embolization and making a definitive diagnosis. The tumor on the ventricular septum was excised together with the surrounding endocardium and part of the myocardium. The tumors on the valve leaflets were excised with the aortic valve cusps spared. Histopathologically, all the tumors were fibroelastomas. The postoperative course was uneventful.
