Aortic Valve Papillary Fibroelastoma - Report of 1 Case-

대동맥판막에 위치한 유두상 섬유탄력종

  • Kim Jae Hyun (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Oh Sam Sae (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Lee Chang-Ha (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Baek Man Jong (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Kim Chong Whan (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute) ;
  • Na Chan-Young (Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute)
  • 김재현 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 오삼세 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 이창하 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 백만종 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 김종환 (부천세종병원 흉부외과, 세종심장연구소) ;
  • 나찬영 (부천세종병원 흉부외과, 세종심장연구소)
  • Published : 2005.04.01

Abstract

Papillary fibroelastomas are benign, and they are the second most common primary cardiac tumors usually involving the cardiac valve. Papillary fibroelastoma attached to the free margin of right coronary cusp of the aortic vlave was found incidentally during the work-up of a 51-year-old woman, who was presented with palpitation and dyspnea. During the operation, the tumor mass was excised without leaving defect on the aortic valve leaflet.

유두상 섬유탄력종은 원발성 종양 중 두 번째로 많이 호발하는 양성종양으로 주로 심장판막에 발생한다. 본원에서는 심계항진과 호흡곤란을 주소로 내원한 51세 여자환자를 검사하던 중 우연히 대동맥 판막에 위치한 유두상 섬유탄력종이 발견되었다. 수술시 대동맥 판막의 손상 없이 대동맥 판막에 부착된 종양만 제거하는 것이 가능하였다.

Keywords

References

  1. Reynen K. Frequency of primary tumors of the heart. Am J Cardiol 1996;77:107 https://doi.org/10.1016/S0002-9149(97)89149-7
  2. Gowda RM, Khan IA, Nair CK, et al. Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases. Am Heart J 2003;146:404-10 https://doi.org/10.1016/S0002-8703(03)00249-7
  3. Bottio T, Basso C, Rizzoli G, Casarotto D, Thiene G. Case report: fibroelastoma of the papillary muscle of the mitral valve: diagnostic implications and review of the literature. J Heart Valve Dis 2002;11:288-91
  4. Okada K, Sueda T, Orihashi K, et al. Cardiac papillary fibroelastoma on the pulmonary valve: a rare cardiac tumor. Ann Thorae Surg 2001;71:1677-9 https://doi.org/10.1016/S0003-4975(00)02527-3
  5. Suzuki H, Shimura H, Haraguehi K, et al. Exophthalmos, pretibial myxedema, osteoartlropathy syndrome associated with papillary fibroelastana in the left ventricle. Thyroid 1999;9:1257-60 https://doi.org/10.1089/thy.1999.9.1257
  6. Kang JK, Lee CJ, Kim JY, Hong JR, Shin JR, Kim JR. Papillary fibroelastoma causng neurologic symptoms in patient with valvular heart disease. Korean J Thorae Cardiovase Surg 2001;34:948-51
  7. Klarich KW, Enriquez-Sarano M, Gura GM, Edwards WD, Tajik AJ, Seward JB. Papillary fibroelastoma: echocardiographic characteristics for dagnosis and pathologic correlation. J Am Call Cardiol 1997;30:784-90 https://doi.org/10.1016/S0735-1097(97)00211-8