Santibáñez EF, Attié F, Vargas BJ, Ramírez MS, Campo AJA

Language: Spanish
References: 18
Page:
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ABSTRACT

Primary tumors of the heart are rare entities. We report a unique case of a young woman presenting a left ventricular myxoma, which manifested itself as coronary artery disease and was diagnosed by echocardiography. Emergency surgical treatment was indicated, done through a transeptal approach with extensive resection of the tumor, its pedicle and the papilar muscle to which it was attached as well as the anterior mitral leaflet, which was thinned and deformed by the presence of the mass. Mitral valve replacement was mandatory. A complete retrospective review of the literature is presented.

REFERENCES

1. Reynen K: Cardiac Mixomas, review article. N Engl J Med 1995; 333(24): 1610-17.

2. Kirklin JW, Barrat-Boyes BG: Cardiac Surgery 2nd ed. Vol 2. New York: Churchill Livingstone, 1993; 1635-42.

3. De Paiva EC, Macieira-Coelho E, Amram SS, Duarte CS, Coelho E: Intracavitary left ventricular mixoma. Am J Cardiol 1967; 20: 260- 2.

4. Pavlides GS, Levin RN, Hauser AM: Left ventricular recurrence of a resected left atrial myxoma. Am Heart J 1989; 117(6): 1390-2.

5. Palazzuoli V, Mondillo S, Angelini GD, Breckenridge IM, Kristodhullu A, Caniggia A: Myxoma of the left ventricle. Thorac Cardiovasc Surg 1986; 34: 271-2.

6. Rosenzweig A, Harrigan P, Popvic AD: Left ventricular myxoma simulating aortic stenosis. Am Heart J 1989; 117: 962-3.

7. Panday S, Kubal G, Desai B, Dave A, Arsiwala S: Succesful surgical management of left ventricular myxoma: a case report and review of the literature. J Thorac Cardiovasc Surg 1990; 100(1): 146-8.

8. Viswanathan B, Luber JM, Bell-thomson J: Right ventricular mixoma. Ann Thorac Surg 1985; 39(3): 280-1.

9. Meller J, Teichholz LE, Pichard AD, Matta R, Litwak R, Herman MV: Left Ventricular Myxoma, echocardiographic diagnosis and review of the literature. Am J Medicine 1977; 63: 816-23.

10. St John Sutton MG, Mercier LA, Giuliani ER, Lie JT: Atrial myxomas: a review of clinical experience in 40 patients. Mayo Clin Proc 1980; 55: 371-6.

11. Vargas Barrón J, Lacy Niebla MC, Gonzalez Medina AR, Bassa Kury R, Dubach P: Pulsed Doppler echocardiographic analysis of atrioventricular flow changes in patients with atrial myxomas. Am Heart J 1986; 112(4): 850-4.

12. Chia BL, Chin-hock L, Sheares JH, Choo MH: Echocardiographic findings in right ventricular myxoma. Am J Cardiol 1986; 58: 663-4.

13. Quijano Pitman F, Odilón Carrillo J, Mendoza F, Aguillón A, Correa R, García Cornejo M, De la Cruz Velazco P: Mixoma de Aurícula Izquierda. Arch Inst Cardio Mex 1967; 37(5): 541-548.

14. Björk VO, Björk L: Left ventricular myxoma. Thorax 1965; 20: 534-36.

15. Santibáñez F, Serrano G, Ramirez S, Lopez Soriano F, Barragán R: The transeptal approach for mitral valve replacement revisited. Tex Heart Inst J 1997; 24: 209-14.

16. Gerbode F, Kerth WJ, Hill JD: Surgical management of tumors of the heart. Surgery 1967; 61: 94-101.

17. Sandrasagra FA, Oliver WA, English AH: Myxoma of the mitral valve. Br Heart J 1979; 42: 221-3.

18. Gosse P, Herpin D, Roudaut R, Malergue ML, Baudet E, Dallochio M: Myxoma of the mitral valve diagnosed by echocardiography. Am Heart J 1986; 111: 803-805.