Myxoma of the mitral valve:: Diagnosis by 2-dimensional and 3-dimensional echocardiography

被引:18
作者
Handke, M
Schöchlin, A
Schäfer, DM
Beyersdorf, F
Geibel, A
机构
[1] Univ Freiburg, Dept Cardiol & Angiol, D-7800 Freiburg, Germany
[2] Univ Freiburg, Dept Cardiovasc Surg, D-7800 Freiburg, Germany
关键词
D O I
10.1016/S0894-7317(99)70031-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In this report we describe a 39-year-old patient who had left-sided hemiparesis. In search of a source of embolism, we performed transthoracic echocardiography, which did not show any abnormalities. Transesophageal echocardiography revealed a small tumor of the posterior mitral leaflet. Three-dimensional transesophageal echocardiography was subsequently performed and demonstrated more accurate information about the size, the morphology, and the attachment point of the tumor. Furthermore, the reconstruction provided excellent spatial visualization of the pathomorphology of the mitral valve and was a useful addition for optimal preoperative diagnostic management. The tumor was excised, and histologic examination confirmed the myxomatous character of the tumor. Mitral valve myxomas are rare. This is the first case reported of a mitral valve myxoma being visualized by 3D echocardiography.
引用
收藏
页码:773 / 776
页数:4
相关论文
共 15 条
[1]   Feasibility, accuracy, and incremental value of intraoperative three-dimensional transesophageal echocardiography in valve surgery [J].
Abraham, TP ;
Warner, JG ;
Kon, ND ;
Lantz, PE ;
Fowle, KM ;
Brooker, RF ;
Ge, SP ;
Nomeir, AM ;
Kitzman, DW .
AMERICAN JOURNAL OF CARDIOLOGY, 1997, 80 (12) :1577-1582
[2]   MITRAL-VALVE MYXOMA DIAGNOSED BY TWO-DIMENSIONAL ECHOCARDIOGRAPHY [J].
BAROLD, SS ;
HICKS, GL ;
NANDA, NC ;
ONG, LS ;
FALKOFF, MD ;
HEINLE, RA .
AMERICAN JOURNAL OF CARDIOLOGY, 1987, 59 (01) :182-183
[3]   Preoperative two- and three-dimensional transesophageal echocardiographic assessment of heart tumors [J].
Borges, AC ;
Witt, C ;
Bartel, T ;
Muller, S ;
Konertz, W ;
Baumann, G .
ANNALS OF THORACIC SURGERY, 1996, 61 (04) :1163-1167
[4]   THE PHYSIO-RING - AN ADVANCED CONCEPT IN MITRAL-VALVE ANNULOPLASTY [J].
CARPENTIER, AF ;
LESSANA, A ;
RELLAND, JYM ;
BELLI, E ;
MIHAILEANU, S ;
BERREBI, AJ ;
PALSKY, E ;
LOULMET, DF .
ANNALS OF THORACIC SURGERY, 1995, 60 (05) :1177-1186
[5]   Evaluation of mitral valve prolapse by four-dimensional echocardiography [J].
Cheng, TO ;
Xie, MX ;
Wang, XF ;
Li, ZA ;
Hu, G .
AMERICAN HEART JOURNAL, 1997, 133 (01) :120-129
[6]   MYXOMA OF THE MITRAL-VALVE DIAGNOSED BY ECHOCARDIOGRAPHY [J].
GOSSE, P ;
HERPIN, D ;
ROUDAUT, R ;
MALERGUE, MC ;
LONGY, M ;
BAUDET, E ;
DALLOCCHIO, M .
AMERICAN HEART JOURNAL, 1986, 111 (04) :803-805
[7]   MYXOMA OF THE MITRAL-VALVE DETECTED BY ECHOCARDIOGRAPHY AND MAGNETIC-RESONANCE-IMAGING [J].
KAMATA, J ;
YOSHIOKA, K ;
NASU, M ;
UESHIMA, K ;
MIZUNUMA, Y ;
SATO, Y ;
IZUMOTO, H ;
YAGI, Y ;
NAKAI, K ;
HIRAMORI, K ;
KAWAZOE, K .
EUROPEAN HEART JOURNAL, 1995, 16 (10) :1435-1438
[8]  
Kulshrestha P, 1995, J Heart Valve Dis, V4, P196
[9]  
Kupferwasser I, 1994, J Am Soc Echocardiogr, V7, P561
[10]  
LEUDE E, 1995, ARCH MAL COEUR VAISS, V88, P1345