Cardiac Hemangioma of the Anterior Mitral Valve Leaflet - A case report -

승모판막 전엽에 발생한 심장혈관종 - 1예 보고 -

  • Choi, Jae-Sung (Department of Thoracic and Cardiovascular Surgery, Dongguk University College of Medicine) ;
  • Kim, Eung-Joong (Department of Thoracic and Cardiovascular Surgery, Dongguk University College of Medicine)
  • 최재성 (동국대학교 의과대학 흉부외과학교실) ;
  • 김응중 (동국대학교 의과대학 흉부외과학교실)
  • Published : 2007.12.05

Abstract

A hemangioma at a cardiac valve leaflet is a rare finding. There are only five reported cases in the medical literature and no prior case reported in Korea. A previously healthy 45-year-old woman presented with an acute episode of numbness in the left side of the face and hand. Although no definite abnormalities were found on the neurological examination and testing the echocardiography revealed an echogenic mass in the anterior mitral valve leaflet. The tumor was excised en bloc from the leaflet and the defect was repaired with an autologous pericardial patch. Pathology examination confirmed the mass to be a hemangioma of the valve leaflet. Here we report this case and review the medical literature.

심장 판막엽에 발생하는 혈관종은 극히 드문 질환으로 최근까지 문헌에 보고된 것은 총 5례가 전부이며 아직까지 국내문헌에는 보고된 바가 없다. 건강하던 46세 여자가 갑자기 발생한 좌측 안면마비와 수부 감각이상을 주소로 내원하였다. 신경학적 검사에서는 이상 소견이 없었으며 심장초음파에서 승모판막 전엽에 위치한 종괴가 발견되어 종괴를 포함한 승모판막 전엽의 일부를 절제한 후 자가심낭을 이용하여 승모판막성형을 시행하였다. 병리조직 검사상 승모판막 전엽에 발생한 혈관종으로 판명되어 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Reardon MJ, Smythe WR. Cardiac neoplasms. In: Cohn LH, Edmunds LH Jr. (ed.). Cardiac Surgery in the Adult. 2nd ed. New York: McGraw-Hill. 2003;1373-400
  2. Muzzi L, Davoli G, Specchia L, Chiavarelli M. Primary hemangioma of the mitral valve: an unusual presentation. J Heart Valve Dis 2007;16:209-11
  3. Brizard C, Latremouille C, Jebara VA, et al. Cardiac hemangioma. Ann Thorac Surg 1993;56:390-4 https://doi.org/10.1016/0003-4975(93)91193-Q
  4. Nye SW, Orsinelli DA, Baker PB, Brown DA. Surgical treatment of a hemangioma of the mitral valve. Ann Thorac Surg 2001;71:345-7 https://doi.org/10.1016/S0003-4975(00)02235-9
  5. Kutay V, Yakut C, Ekim H. Mitral annular tumors: report of two cases in childhood. J Card Surg 2006;21: 191-4 https://doi.org/10.1111/j.1540-8191.2006.00205.x
  6. Ugras S, Bayram I. Cavernous haemangioma of the mitral valve in a child: report of a case and review of the literature. Pathology 2005;37:396-8 https://doi.org/10.1080/00313020500254545
  7. Edwards FH, Hale D, Cohen A, Thompson L, Pezzella AT, Virmani R. Primary cardiac valve tumors. Ann Thorac Surg 1991;52:1127-31 https://doi.org/10.1016/0003-4975(91)91293-5
  8. Palmer TE, Tresch DD, Bonchek LI. Spontaneous resolution of a large cavernous hemangioma of the heart. Am J Cardiol 1986;58:184-5 https://doi.org/10.1016/0002-9149(86)90106-2