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European Journal of Echocardiography Advance Access originally published online on March 27, 2009
European Journal of Echocardiography 2009 10(4):593-595; doi:10.1093/ejechocard/jep031
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

A rare case of left ventricular cardiac myxoma with obstruction of the left ventricular outflow tract and atypical involvement of the mitral valve

Jens Robert1,*, Martin Brack1, Stephan Hottinger2, Alexander Kadner3 and Hans-Rudolf Baur1

1 Spital Netz Bern Tiefenau, Berne, Switzerland
2 Spital Netz Bern Ziegler, Berne, Switzerland
3 Clinic for Cardiovascular Surgery, University Hospital, University Berne, Berne, Switzerland

Received 11 January 2009; accepted after revision 7 March 2009; online publish-ahead-of-print 27 March 2009.

* Corresponding author: Assistenzarzt Klinik und Poliklinik für Kardiologie, Schweizer Herz- und Gefässzentrum Bern, Universitätsklinik, Inselspital, CH 3010 Bern, Switzerland. Tel: +41 31 632 2111; fax: +41 31 632 42 99. E-mail address: jens.robert{at}insel.ch


  Abstract

Cardiac myxomas originating from the left ventricular free wall are extremely rare. A 32-year-old Swiss male was found to have a 5  x  3  x  3 cm myxoma originating from the left ventricular free wall using transthoracic echocardiography. The tumour was successfully treated by surgical excision but the mitral valve could not be preserved because of an untypical interference of the myxoma with the subvalvular apparatus.

Keywords: Myxoma; Ventricular outflow obstruction; Heart neoplasms; Mitral valve; Heart ventricles; Arrhythmias; Cardiac


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