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Early surgical intervention for unusually located cardiac fibroelastomas

Yeungnam University Journal of Medicine 2020년 37권 4호 p.345 ~ 348
정의석, 이재훈, 서종권, 김병규, 김광실, 이혜영, 변영섭, 김현정,
소속 상세정보
정의석 ( Chung Eui-Suk ) - Inje University College of Medicine Inje University Sanggye Paik Hospital Department of Thoracic and Cardiovascular Surgery
이재훈 ( Lee Jae-Hoon ) - Inje University College of Medicine Inje University Sanggye Paik Hospital Department of Thoracic and Cardiovascular Surgery
서종권 ( Seo Jong-Kwon ) - Inje University College of Medicine Inje University Sanggye Paik Hospital Department of Internal Medicine
김병규 ( Kim Byung-Gyu ) - Inje University College of Medicine Inje University Sanggye Paik Hospital Department of Internal Medicine
김광실 ( Kim Gwang-Sil ) - Inje University College of Medicine Inje University Sanggye Paik Hospital Department of Internal Medicine
이혜영 ( Lee Hye-Young ) - Inje University College of Medicine Inje University Sanggye Paik Hospital Department of Internal Medicine
변영섭 ( Byun Young-Sup ) - Inje University College of Medicine Inje University Sanggye Paik Hospital Department of Internal Medicine
김현정 ( Kim Hyun-Jung ) - Inje University College of Medicine Inje University Sanggye Paik Hospital Department of Pathology

Abstract


Papillary fibroelastomas are the second most common primary cardiac tumor in adults. Over 80% of fibroelastomas occur on the cardiac valves, usually on the left side of the heart, while the remaining lesions are typically scattered throughout the atria and ventricles. Although the optimal timing for surgery is controversial and depends on tumor size and location, prompt surgical resection is warranted in patients at high risk of embolism. A tumor on the cardiac valve can be removed using the slicing excision technique without leaflet injury. Here we present two cases of papillary fibroelastomas occurring on the ventricular surface of the aortic valve and in the right ventricle.

키워드

Aortic valve; Embolism; Heart neoplasms; Heart ventricles

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