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
- 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.