Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Myocardial Hamartoma Involving the Posterior Left Ventricular Wall -Surgical Experience of One Case-

좌심실 후벽을 침범한 심근성 과오종 -수술 치험 1예-

  • Seo Yeon-Ho (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Medical School) ;
  • Kim Nan-Yeol (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Medical School) ;
  • Kim Kong-Soo (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Medical School)
  • 서연호 (전북대학교 의과대학 흉부외과학교실) ;
  • 김난열 (전북대학교 의과대학 흉부외과학교실) ;
  • 김공수 (전북대학교 의과대학 흉부외과학교실)
  • Published : 2006.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

A 16 year-old boy was admitted to our department because of mild chest discomfort and mild dyspnea. A mass involving posterior wall of the left ventricle near posterior mitral annulus was found on echocardiography and cardiac MRI. Total excision of the mass was performed via posterior ventriculotomy under the cardiopulmonary bypass. The pathologic diagnosis revealed mature cardiac myocyte hamartoma. There was no evidence of arrhythmia and tumor recurrence during the 1 year of follow up after the surgery.

16세 남자 환자가 경도의 흉부 불편감과 호흡 곤란을 주소로 내원하였다. 심초음파와 심장 자기공명 영상 촬영에서 좌심실의 후벽에 위치하며 후방 승모판막륜을 침범하고 있는 종양을 발견하였다. 심폐기 순환 상태에서 후방 심실을 절개한 후 종양 절제술을 시행하였다. 수술 후 조직검사에서 성숙 심근세포 과오종으로 판명되었다. 종양의 재발이나 부정맥과 같은 합병증 없이 수술 후 1년간 추적 관찰 중이다.

Keywords

References

  1. Burke AP, Ribe JK, Bajaj AK, Edwards WD, Farb A, Virmani R. Hamartoma of mature cardiac myocytes. Hum Pathol 1998;29:904-9 https://doi.org/10.1016/S0046-8177(98)90194-0
  2. Tworetzky W, McElhinney DB, Margossian R, et al. Association between cardiac tumors and tuberous sclerosis in the fetus and neonate. Am J Cardiol 2003;92:487-9 https://doi.org/10.1016/S0002-9149(03)00677-5
  3. Stillera B, Hetzer R, Meyer R, et al. Primary cardiac tumours: when is surgery necessary? Eur J Cardiothorac Surg 2001;20:1002-6 https://doi.org/10.1016/S1010-7940(01)00951-4
  4. Lee JR, Hwang HY, Bae EJ, Kim CJ. Myocardial hamartoma involving the interventricular septum. Korean J Thorac Cardiovasc Surg 2003;36:277-9
  5. Bakaeen FG, Reardon MJ, Coselli JS, et al. Surgical outcome in 85 patients with primary cardiac tumors. Am J Surg 2003;186:641-7 https://doi.org/10.1016/j.amjsurg.2003.08.004