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

Unusually Early Recurrence of Mitral Valve Myxoma in a Child

• Eun MJ
• Shin JA
• Choi YU
• Yoon JH
• Lee JY
• Lee WY
• Lee C

• KMID: 2516220
• DOI: http://doi.org/10.4070/kcj.2021.0112

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.

Reference

1. Yuan SM. Mitral valve myxoma: clinical features, current diagnostic approaches, and surgical management. Cardiol J. 2012; 19:105–109. PMID: 22298179.

2. Tasoglu I, Tutun U, Lafci G, et al. Primary cardiac myxomas: clinical experience and surgical results in 67 patients. J Card Surg. 2009; 24:256–259. PMID: 19438777.

3. Omeroglu RE, Olgar S, Nisli K, Elmaci T. Recurrent hemiparesis due to anterior mitral leaflet myxomas. Pediatr Neurol. 2006; 34:490–494. PMID: 16765831.

4. Shinfeld A, Katsumata T, Westaby S. Recurrent cardiac myxoma: seeding or multifocal disease? Ann Thorac Surg. 1998; 66:285–288. PMID: 9692493.