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Arch. cardiol. Méx ; 74(4): 290-294, oct.-dic. 2004. ilus
Article in Spanish | LILACS | ID: lil-755674

ABSTRACT

Los tumores primarios del corazón son entidades poco frecuentes. Se reporta el caso de una mujer joven con un mixoma del ventrículo izquierdo, el cual se manifestó como enfermedad coronaria, y cuyo diagnóstico se hizo mediante ecocardiografía. Se realiza tratamiento quirúrgico por vía transeptal, con resección extensa del tumor, su pedículo, el músculo papilar al cual se encuentra adherido, y la valva anterior de la válvula mitral por encontrarse ésta deformada por la presencia misma de la tumoración. Simultáneamente se realiza cambio valvular mitral. Se hace una revisión acerca de esta patología.


Primary tumors of the heart are rare entities. We report a unique case of a young woman presenting a left ventricular myxoma, which manifested itself as coronary artery disease and was diagnosed by echocardiography. Emergency surgical treatment was indicated, done through a transeptal approach with extensive resection of the tumor, its pedicle and the papilar muscle to which it was attached as well as the anterior mitral leaflet, which was thinned and deformed by the presence of the mass. Mitral valve replacement was mandatory. A complete retrospective review of the literature is presented.


Subject(s)
Humans , Female , Adult , Heart Neoplasms/pathology , Heart Neoplasms/diagnostic imaging , Mitral Valve/diagnostic imaging , Myxoma/pathology , Myxoma/diagnostic imaging , Echocardiography , Treatment Outcome , Heart Neoplasms/surgery , Cardiac Surgical Procedures/methods , Heart Ventricles/surgery , Heart Ventricles/pathology , Heart Ventricles/diagnostic imaging , Mitral Valve/surgery , Mitral Valve/pathology , Myxoma/surgery
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