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Rapidly growing papillary fibroelastoma complicated by myxoma

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Rapidly growing papillary fibroelastoma complicated by myxoma is extremely rare. An 80-year-old male was transported to our hospital because of cerebral hemorrhage. Echocardiogram revealed a massive pedunculated tumor in the septum of the left atrium. The tumor extended to the mitral valve orifice and posed a risk of strangulation, yet removing it immediately would have required cardiopulmonary bypass with anticoagulant, which would have posed a serious risk of rebleeding. Magnetic resonance imaging showed that the tumor stalk was sufficiently thick for us to perform a standby surgery 1 month after cerebral hemorrhage. Follow-up echocardiogram prior to this surgery revealed a new, high-mobility tumor in the right ventricular septum. We resected these two tumors together. Histopathological examination showed that the tumor of the left atrium was a myxoma and the tumor of the right ventricle was a papillary fibroelastoma. The patient had a good postoperative course and was discharged without complications.

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We declare that no funding is involved in reporting of this article.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Akane-Foundation Tsuchiya General Hospital, Nakashimacho 3-30, Nakaku Hiroshima-city, Hiroshima, Japan

    Seimei Go, Tomokuni Furukawa & Kazunori Yamada

  2. Department of Cardiovascular Surgery, Hiroshima University, Hiroshima, Japan

    Shinya Takahashi

Authors
  1. Seimei Go
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  2. Tomokuni Furukawa
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  3. Kazunori Yamada
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  4. Shinya Takahashi
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Correspondence to Seimei Go.

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Go, S., Furukawa, T., Yamada, K. et al. Rapidly growing papillary fibroelastoma complicated by myxoma. Indian J Thorac Cardiovasc Surg 37, 97–100 (2021). https://doi.org/10.1007/s12055-020-01035-7

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  • DOI: https://doi.org/10.1007/s12055-020-01035-7

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