1.Multidetector Computed Tomography Findings of a Papillary Fibroelastoma of the Aortic Valve: A Case Report.
Ah Young KIM ; Jeung Sook KIM ; Yup YOON ; Eung Joong KIM
Journal of Korean Medical Science 2010;25(5):809-812
Papillary fibroelastoma is a rare benign cardiac tumor that represents 10% of all primary cardiac tumors. Diagnosis is accomplished incidentally by echocardiography that is usually performed for another purpose. Most papillary fibroelastomas are asymptomatic, but the lesions are recognized as a cause of embolisms. To the best of our knowledge, there has been no case report of computed tomography findings of a papillary fibroelastoma. We report a case of a papillary fibroelastoma in a 78-yr-old woman who had dyspnea and chest tightness. Echocardiography revealed a small lobulated mobile echogenic mass attached to the aortic valve, and CT demonstrated a lobulated soft tissue density mass with a thin stalk at the sinotubular junction of the aortic valve.
Aged
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Aortography/*methods
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Female
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Fibroma/*radiography/*surgery
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Heart Neoplasms/*radiography/*surgery
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Humans
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Papillary Muscles/*radiography/*surgery
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Tomography, X-Ray Computed/*methods
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Treatment Outcome
2.Left ventricular metastasis from a primary lung carcinoma.
Guo-wei CHE ; Lun-xu LIU ; Er-yong ZHANG ; Qing-hua ZHOU
Chinese Medical Journal 2007;120(24):2323-2324
Heart Neoplasms
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diagnostic imaging
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secondary
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surgery
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Heart Ventricles
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pathology
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Humans
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Lung Neoplasms
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pathology
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Male
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Middle Aged
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Radiography
3.Surgical Planning by 3D Printing for Primary Cardiac Schwannoma Resection.
Kuk Hui SON ; Kun Woo KIM ; Chi Bum AHN ; Chang Hu CHOI ; Kook Yang PARK ; Chul Hyun PARK ; Jae Ik LEE ; Yang Bin JEON
Yonsei Medical Journal 2015;56(6):1735-1737
We report herein a case of benign cardiac schwannoma in the interatrial septum. A 42-year-old woman was transferred from a clinic because of cardiomegaly as determined by chest X-ray. A transthoracic echocardiography and chest computed tomography examination revealed a huge mass in the pericardium compressing the right atrium, superior vena cava (SVC), left atrium, and superior pulmonary vein. To confirm that the tumor originated from either heart or mediastinum, cine magnetic resonance imaging was performed, but the result was not conclusive. To facilitate surgical planning, we used 3D printing. Using a printed heart model, we decided that tumor resection under cardiopulmonary bypass (CPB) through sternotomy would be technically feasible. At surgery, a huge tumor in the interatrial septum was confirmed. By incision on the atrial roof between the aorta and SVC, tumor enucleation was performed successfully under CPB. Pathology revealed benign schwannoma. The patient was discharged without complication. 3D printing of the heart and tumor was found to be helpful when deciding optimal surgical approach.
Adult
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Atrial Septum/pathology/surgery
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Cardiomegaly/*etiology/radiography
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*Cardiopulmonary Bypass
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Female
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Heart Atria/pathology
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Heart Neoplasms/pathology/*surgery
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Humans
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Magnetic Resonance Imaging, Cine
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Neurilemmoma/*pathology/surgery
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*Printing, Three-Dimensional
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Sternotomy
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Treatment Outcome
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Vena Cava, Superior/pathology