Aortic valve myxoma at the extreme age: a review of literature

Abstract

Primary cardiac tumours are a rare finding, with cardiac myxoma and fibroelastoma representing the majority of these tumours. Cardiac myxomas are most commonly found in the left atrium but are rarely found with attachment to the cardiac valves. The authors describe a case of aortic myxoma found in an 81-year-old man presented with peripheral arterial disease. CT angiogram of the thorax was performed to find the source of emboli and it showed a mass attached to the aortic valve and protruding into the aorta. Details of the location and texture were studied on transoesophageal echocardiography. Preoperative coronary angiography showed coronary artery disease and the patient underwent successful coronary artery bypass grafting and simultaneous resection of the mass. Histopathology revealed the mass as a myxoma.

Aortic Valve Myxoma Presenting with a Stroke: A case report and review of the literature

“…[4][5][6][7][8][9][10][11][12][13][14] Interestingly, nine of these previously reported patients were male, as in the current case; this is contrary to the usual female preponderance of myxoma cases. 1,[4][5][6][7][8][9]11,13,14 Overall, six aortic valve myxoma patients were symptomatic, with symptoms largely attributable to distal embolisation and ischaemia, including three cases with stroke, two with myocardial infarctions and one with limb ischaemia. 4,6,8,[11][12][13] Clinicians should therefore be aware of stroke as a potential presentation of aortic valve myxoma.…”

“…1,[4][5][6][7][8][9]11,13,14 Overall, six aortic valve myxoma patients were symptomatic, with symptoms largely attributable to distal embolisation and ischaemia, including three cases with stroke, two with myocardial infarctions and one with limb ischaemia. 4,6,8,[11][12][13] Clinicians should therefore be aware of stroke as a potential presentation of aortic valve myxoma.…”

“…3 Rarely, myxomas may arise from both the ventricular aspect and the margin of the aortic valve cusps; moreover, one or both leaflets may also be affected. 4 Although transoesophageal echocardiography (TEE) aids in the assessment of such masses, histopathology is considered the gold-standard method to confirm a diagnosis. 4,5 This report describes an atypical case of aortic valve myxoma and patent foramen ovale (PFO) presenting with a cerebral stroke.…”

“…4 Although transoesophageal echocardiography (TEE) aids in the assessment of such masses, histopathology is considered the gold-standard method to confirm a diagnosis. 4,5 This report describes an atypical case of aortic valve myxoma and patent foramen ovale (PFO) presenting with a cerebral stroke. Such cases serve to increase awareness of the varying presentation of aortic valve myxomas and highlight appropriate investigations and management of this condition.…”

Śluzak lewej komory serca powikłany zatorowością obwodową

“…Guz zwykle wyrasta z przegrody międzykomorowej, w pobliżu drogi odpływu, bądź z zastawki mitralnej, z wolnej ściany lewej komory lub bardzo rzadko z zastawki aortalnej [7,8]. Podstawowym badaniem diagnostycznym w identyfikacji śluzaka serca jest echokardiografia.…”