Asian Annals
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Extract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Yoshihito Irie
Takao Imazeki
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Irie, Y.
Right arrow Articles by Imazeki, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Irie, Y.
Right arrow Articles by Imazeki, T.
Related Collections
Right arrow Cardiac - other
Asian Cardiovasc Thorac Ann 2004;12:184-185
© 2004 Asia Publishing EXchange Ltd

IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY

Multiple Papillary Fibroelastoma of the Left Ventricle

Yoshihito Irie, MD, Yasuhiro Sato, MD, Souichi Shioguchi, MD, Masahito Saito, MD, Ikkoku Hata, MD, Nobuaki Kaki, MD, Takao Imazeki, MD

Cardiovascular Surgery, Koshigaya Hospital, Dokkyo University School of Medicine, 2-1-50 Minamikoshigaya, Koshigaya Saitama, Japan

For reprint information contact: Yoshihito Irie, MD Tel: 81 48 965 1111 Fax: 81 48 960 1506 Email: yirie{at}dokkyomed.ac.jp Cardiovascular Surgery, Koshigaya Hospital, Dokkyo University School of Medicine, 2-1-50 Minamikoshigaya, Koshigaya, Saitama, Japan 343-8555.

A 59 year-old man was admitted to a local hospital for treatment of a brain infarction. The transesophageal echocardiography (TEE) showed a mobile, solitary, intracavitary tumor with a short pedicle arising from the left ventricular outflow just below the right coronary cusp (Figure 1Go). It was considered to be the cause of the brain infarction. To avoid any further embolization, the patient was transferred to our hospital for urgent operation. At surgery, the aortotomy was performed under cardiopulmonary bypass and a 5 mm in diameter video-assisted thoracoscope (Olympus, Japan) was introduced through the aortic valve for inspecting the left ventricular cavity. A tumor measuring 5 x 6 cm was attached by an extremely thin stalk to the endocardium of the outflow below the right coronary cusp (Figure 2AGo). Adjacent to this pedunculated tumor, the scope showed several whitish polypoid masses arising from the endocardium (Figure 2BGo). All lesions included the primary tumor and the polypoid masses were removed. Histological examination revealed numerous papillary projections covered by a single layer of endothelial cells continuing from the elastic fibers linked with the endocardium (Figures 2C & DGo). These findings confirmed the diagnosis of a multiple papillary fibroelastoma of the left ventricle.



View larger version (49K):
[in this window]
[in a new window]
  		Figure 1. Transesophageal echocardiography (TEE) shows a solitary tumor below the right coronary cusp. (black arrow)

 





View larger version (395K):
[in this window]
[in a new window]
  		Figure 2. (A) Tumor measuring 5 x 6 cm was attached by an extremely thin stalk to the endocardium as seen on TEE,_ (B) Adjacent to the pedunculated tumor, the scope shows several whitish polypoid masses arising from the endocardium. Histologically, (C) the primary tumor and the polypoid masses, (D) revealed numerous papillary projections covered by a single layer of endothelial cells as a typical findings of papillary fibroelastoma.

 




This article has been cited by other articles:


Home page
 Card Surg AdultHome page
J.-C. M. Walkes, W. R. Smythe, and M. J. Reardon
Cardiac Neoplasms
Card. Surg. Adult, January 1, 2008; 3(2008): 1479 - 1510.
[Full Text]

Home page
 ICVTSHome page
Y. Kaneko, J. Kobayashi, F. Saitoh, and M. Ono
Thoracoscopic removal of a papillary fibroelastoma in the left ventricular apex
Interactive CardioVascular and Thoracic Surgery, October 1, 2006; 5(5): 640 - 642.
[Abstract] [Full Text] [PDF]

This Article
Right arrow Extract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Yoshihito Irie
Takao Imazeki
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Irie, Y.
Right arrow Articles by Imazeki, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Irie, Y.
Right arrow Articles by Imazeki, T.
Related Collections
Right arrow Cardiac - other

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS