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Case Reports
. 2012 Sep;15(3):560-2.
doi: 10.1093/icvts/ivs117. Epub 2012 May 22.

Myxoma of the aortic valve

Affiliations
Case Reports

Myxoma of the aortic valve

Angel L Fernández et al. Interact Cardiovasc Thorac Surg. 2012 Sep.

Abstract

Myxomatous tumours can arise from different cardiac structures. They have a special predilection for the left atrium and are an exceedingly uncommon finding in cardiac valves. We report the case of a 28-year old man who presented with a stroke and was found to have a mass arising from his aortic valve. The patient underwent a successful surgical excision of the aortic valve with the implantation of a mechanical prosthesis. The histopathological examination of the aortic valve confirmed the diagnosis of myxoma. Some aspects related to the diagnosis and management of this entity are discussed in this article.

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Figures

Figure 1:
Figure 1:
Preoperative transoesophageal echocardiogram. (a) Longitudinal view. The tumour is attached to the ventricular aspect of the aortic valve (arrow). (b) Transversal view. The tumour arises from the right and left aortic leaflets (arrows).
Figure 2:
Figure 2:
(a) Intraoperative image of the aortic valve showing a mass on the ventricular surface of the right and left cusps of the aortic valve. (b) Macroscopic view of the excised valve. (c) Histological section through the tumour (haematoxylin and eosin ×20). (d) Vascular channels are demonstrated using CD34 immunostaining (×10).

Comment in

  • eComment. Isolated valvular myxoma.
    Jamil HC, Jacques T, Hassan H, Paul M. Jamil HC, et al. Interact Cardiovasc Thorac Surg. 2012 Sep;15(3):562. doi: 10.1093/icvts/ivs280. Interact Cardiovasc Thorac Surg. 2012. PMID: 22908188 Free PMC article. No abstract available.

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