Myxoma of the Aortic Valve

Watarida, S; Katsuyama, Kazuhiko; Yasuda, R; Magara, Tatsuo; Onoe, Masahiko; Nojima, Takehisa; Sugita, Tadaaki

doi:10.1016/s0003-4975(96)00771-0

Cited by 12 publications

(14 citation statements)

References 8 publications

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“…[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.…”

Section: Discussioncontrasting

confidence: 82%

“…21,22 Among previously reported cases of aortic valve myxoma, 10 were identified by TTE, of which four were further confirmed via TEE. [5][6][7][8][9][10][11][12][13][14] In one case, an aortic valve abnormality was first revealed via CT. 4 In the current case, TEE revealed the mass to be located on the RCC of the aortic valve, thus precluding a thrombus or cardiac vegetation; however, the preoperative diagnosis was of a PFE. As with previous cases, the correct diagnosis was eventually confirmed by histopathological examination revealing a myxoid matrix with ovoid myxoma cells.…”

Section: Discussionmentioning

confidence: 99%

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

Alkuwaiti

Elghoneimy

Ghazal

2019

Sultan Qaboos Univ Med J

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Myxomas originating from the aortic valve are rare. We report a 40-year-old male patient who presented to the King Fahd Hospital of the University, Khobar, Saudi Arabia, in 2017 with a stroke. Transoesophageal echocardiography indicated a mobile mass measuring 6 × 2 mm attached to the right coronary cusp of the aortic valve and a mobile interatrial septum with a small patent foramen ovale (PFO). The patient underwent surgical excision of the mass and direct closure of the PFO. Histopathology confirmed the mass to be a myxoma. Despite their rarity, the recognition and treatment of valvular myxomas is very important; moreover, clinicians should be aware that affected patients may present with an embolic stroke.Keywords: Aortic Valve; Myxoma; Patent Foramen Ovale; Stroke; Transesophageal Echocardiography; Case Report; Saudi Arabia.

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Section: Discussioncontrasting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

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

Alkuwaiti

Elghoneimy

Ghazal

2019

Sultan Qaboos Univ Med J

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“…On clinical examination, one of the patients presented with embolic myocardial infarction,4 three patients had embolic stroke,6–8 one had embolic occlusion of the abdominal aorta, one patient demonstrated embolic occlusion of the common femoral artery9 and three patients exhibited an incidental finding on TTE 5 10 11. Furthermore, the myxoma was attached to the right coronary cusp in three patients,6 7 11 to the left coronary cusp in two patients (including the present case),10 and to the non-coronary cusp in two patients4 5; two patients exhibited fusion of the left and right coronary cusps 8 9. Valvular myxomas tend to have a smaller cellular component, fewer giant cells and less perivascular cuffing of tumour cells 12…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2014

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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.

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“…Aortic valve myxomas are rare ‘benign’ cardiac tumours, often discovered after embolisation has occurred [6,7]. On the other hand, there have been reports of cases that have been discovered incidentally [8,9]. The differential diagnosis for aortic valve myxoma includes papillary fibroelastoma, vegetation and giant Lambl’s excrescences (degenerative changes).…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Aortic Valve Myxoma: An Unusual Cause of Embolic Stroke

et al. 2011

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Aortic valve myxoma is an extremely rare cardiac tumour. We describe a 60-year-old woman found to have an aortic valve myxoma and a patent foramen ovale (PFO) presenting as a stroke. In view of the recurrent cerebral ischaemic events, the aortic valve myxoma was surgically removed and the PFO was closed. To the best of our knowledge, this is the first reported case of aortic valve myxoma with a PFO. We also highlight the importance of identifying a possible cardiac source of embolism in a stroke patient and considering this rare tumour as a cause in patients with a cryptogenic stroke.

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Myxoma of the Aortic Valve

Cited by 12 publications

References 8 publications

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

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

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

A Rare Case of Aortic Valve Myxoma: An Unusual Cause of Embolic Stroke

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