Document Detail

Injury to the tricuspid valve and membranous atrioventricular septum caused by huge calcified right ventricular myxoma: report of a case.
MedLine Citation:
PMID:  15277742     Owner:  NLM     Status:  MEDLINE    
A 64-year-old female, admitted because of severe dyspnea on exertion and facial edema, showed echocardiographic findings of a large tumor in the right ventricle (RV). Echocardiography revealed a cardiac mass extending from the RV across the tricuspid valve into the right atrium, synchronized with the cardiac cycle, and severe tricuspid regurgitation was apparent. The mass was removed under cardiopulmonary bypass. It measured 7 x 5 x 5 cm with diffuse superficial calcification and arose from the posterior wall of the RV, just under the tricuspid valve ring, with a short pedicle. During the same procedure, after the successful excision of the tumor, small atrial and ventricular septal defects were found that had been caused by the tumor and these were closed directly. The tricuspid valve was repaired with valvuloplasty, chordoplasty and annuloplasty. The microscopic findings were of typical myxoma; however, a right ventricular myxoma protruding into the right atrium is exceedingly rare.
Jun Hirota; Kazuya Akiyama; Naohito Taniyasu; Kazuma Maisawa; Yutaka Kobayashi; Nobuo Sakamoto; Nobuo Komatsu
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  68     ISSN:  1346-9843     ISO Abbreviation:  Circ. J.     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-07-27     Completed Date:  2005-04-12     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  799-801     Citation Subset:  IM    
Department of Cardiovascular Surgery, Iwaki Kyoritsu General Hospital, Uchigo, Mimaya-machi, Japan.
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MeSH Terms
Calcinosis / pathology*
Heart Block / etiology*
Heart Failure / etiology
Heart Neoplasms / pathology*,  surgery,  ultrasonography
Middle Aged
Myxoma / pathology*,  surgery,  ultrasonography
Treatment Outcome
Tricuspid Valve / injuries*

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