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European Journal of Echocardiography 2008 9(1):171-172; doi:10.1016/j.euje.2007.06.019
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

‘Giant fleshy leaflet myxoma’

Ali Reza Moaref1, Reza Mollazadeh1,*, Ahmad Ali Amirghofran2, Bita Geramizadeh3 and Salma Sefidbakht3

1 Cardiology Department, Nemazee Hospital, Shiraz University of Medical Science, Zand Avenue, P.O. Box: 71435-1414, Shiraz, Iran
2 Cardiac Surgery Department, Nemazee Hospital, Shiraz University of Medical Science, Shiraz, Iran
3 Pathology Department, Shiraz Medical School, Shiraz University of Medical Science, Shiraz, Iran

Received 19 May 2007; accepted after revision 20 June 2007; online publish-ahead-of-print 10 September 2007.

* Corresponding author. Tel: +98 (0)917 313 3749; fax: +98 (0)711 6261089. E-mail address: mollazar{at}yahoo.com


  Abstract

A 25-year-old woman was admitted to the neurology department because of sudden onset of weakness of her left upper and lower extremities. Cardiac auscultation revealed an extra sound. Transesophageal echocardiography showed a huge mobile fleshy mass on the atrial side of anterior mitral leaflet protruding into the left ventricle during diastole. A large irregularly shaped mass resembling a ‘cluster of grapes’ was found on the atrial side of anterior mitral leaflet. The mass was excised and mitral valve was repaired. Histology was diagnostic for myxoma. Six months clinical and echocardiographic follow-up was normal and did not show any recurrence of tumor.

Keywords: Myxoma; Leaflet; Cardiac; Atrial; Stroke


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