본문 바로가기
KERD
논문KCI 등재

Tricuspid Valvular Myxoma: Unusual Case of Tricuspid Valve Myxoma Mimicking Thrombus after Pulmonary Artery Embolectomy and Tricuspid Annuloplasty in Pulmonary Thromboembolism Patient

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류내과학

초록

A 55-year-old man with massive pulmonary thromboembolism underwent thrombolysis, pulmonary artery embolectomy and tricuspid annuloplasty. Nine months later, a mobile echogenic intra-cardiac mass was found in the tricuspid valve. Because the patient had undergone annuloplasty, thrombosis was suspected as the most likely diagnosis and thrombolytic therapy was instituted. However, the size of the cardiac mass did not change and after surgical excision the mass was found to be a myxoma. Cardiac valvular tumors are uncommon and when they occur they are usually slow growing fibroelastomas. In this case, the rapid growing cardiac myxoma on the tricuspid valve was found after the occurrence of pulmonary thromboembolism. To our knowledge, this is first reported case of tricuspid valve myxoma in Korea.

Abstract

A 55-year-old man with massive pulmonary thromboembolism underwent thrombolysis, pulmonary artery embolectomy and tricuspid annuloplasty. Nine months later, a mobile echogenic intra-cardiac mass was found in the tricuspid valve. Because the patient had undergone annuloplasty, thrombosis was suspected as the most likely diagnosis and thrombolytic therapy was instituted. However, the size of the cardiac mass did not change and after surgical excision the mass was found to be a myxoma. Cardiac valvular tumors are uncommon and when they occur they are usually slow growing fibroelastomas. In this case, the rapid growing cardiac myxoma on the tricuspid valve was found after the occurrence of pulmonary thromboembolism. To our knowledge, this is first reported case of tricuspid valve myxoma in Korea.

참고문헌 (7)

  1. "Training program for authenticated echocardiographist" (2009)[URL]
  2. Pierre-Justin G, "Management of mobile right heart thrombi: a prospective series", Int J Cardiol, 99, pp.381~388 (2005)
  3. Piazza G, "Fibrinolysis for acute pulmonary embolism", Vasc Med, 15, pp.419~428 (2010)
  4. Porath A, "Right atrial thrombus and recurrent pulmonary emboli secondary to permanent cardiac pacing--a case report and short review of literature", Angiology, 38, pp.627~630 (1987)
  5. Mügge A, "Dissolution of a right atrial thrombus attached to pacemaker electrodes: usefulness of recombinant tissue-type plasminogen activator", Am Heart J, 119, pp.1437~1439 (1990)
  6. Reynen K, "Cardiac myxomas", N Engl J Med, 333, pp.1610~1617 (1995)
  7. Graça A, "Cardiac papillary fibroelastoma of a mitral valve chordae revealed by stroke", Rev Port Cardiol, 18, pp.937~939 (1999)

이 간행물의 다른 논문 (13건)