Concomitant tumourous lesions in the left atrium and aortic valve suspected to be myxoma

Eur J Cardiothorac Surg. 2020 May 1;57(5):1011-1012. doi: 10.1093/ejcts/ezz314.

Abstract

The occurrence of multiple primary cardiac tumours in a single patient is extremely rare. Despite growing expertise in non-invasive diagnostic modalities, especially in transoesophageal echocardiography, only a few cases report the coincidence of papillary fibroelastoma of the aortic valve and myxoma of the left atrium. Moreover, echocardiographic as well as a macroscopic distinction between cardiac myxoma and cardiac fibroelastoma may be difficult. Only post-excisional histopathology provides diagnostic safety. Cryoablation of the remnant tissue prevents recurrence in both the aortic valve and the left atrium.

Keywords: Cryoablation; Myxoma; Papillary fibroelastoma.

MeSH terms

  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery
  • Fibroma*
  • Heart Atria / diagnostic imaging
  • Heart Atria / surgery
  • Heart Neoplasms* / diagnostic imaging
  • Heart Neoplasms* / surgery
  • Humans
  • Myxoma* / diagnostic imaging
  • Myxoma* / surgery
  • Neoplasm Recurrence, Local