Korean Circ J.  2021 Jun;51(6):554-557. 10.4070/kcj.2021.0112.

Unusually Early Recurrence of Mitral Valve Myxoma in a Child

Affiliations
  • 1Department of Pediatrics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
  • 2Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea


Figure

  • Figure 1 The patient had swellings of fingers and toes, and painful, red, and raised lesions (Osler's nodes), and non-tender, small erythematous or hemorrhagic macular lesions (Janeway lesions) on the palms and soles.

  • Figure 2 Echocardiography showing a huge, irregular shaped, and heterogeneous mass attached to the anterior leaflet of mitral valve at an apical 4-chamber (A), a parasternal long-axis (B), and a parasternal short-axis (C) views.LA = left atrium; LV = left ventricle.

  • Figure 3 Brain magnetic resonance imaging and abdominal computed tomography showing multiple embolic infarct lesions (white arrows) in the brain (A), kidney (B), and spleen (C).K = right kidney; S = spleen.

  • Figure 4 (A) A gelatinous and polypoid mass excised from mitral valve at the first operation. (B) An en bloc mass with the recurred tumor and mitral valve tissues excised at the second operation.

  • Figure 5 Histology of the mitral valve myxoma showing a lobulated, irregular, and frond-like surfaces, which is prone to embolization (A), and an abundant myxoid stroma with single spindle and stellate cells (B).

  • Figure 6 At a month after the first operation, a new tumor was identified at the ventricular side of mitral valve at the apical 4-chamber (A) and parasternal long-axis (B) views.LA = left atrium; LV = left ventricle.


Cited by  2 articles

Systemic Inflammation in the Setting of Cardiac Myxomas: an Overview of Clinical and Practical Considerations
Kenan Yalta, Cihan Ozturk, Tülin Yalta, Ertan Yetkin
Korean Circ J. 2021;51(9):784-786.    doi: 10.4070/kcj.2021.0241.

Author's Reply to Systemic Inflammation in the Setting of Cardiac Myxomas: an Overview of Clinical and Practical Considerations
Ji Hong Yoon, Ju Ae Shin, Yeon U Choi, Jae Young Lee
Korean Circ J. 2021;51(9):787-788.    doi: 10.4070/kcj.2021.2411.


Reference

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