Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Papillary Fibroelastoma of the Aortic Valve: Discovered by Chance with Intraoperative Transesophageal Echocardiography - A case report -

수술실 내 경식도 심장초음파검사에서 우연히 발견된 유두상 섬유탄력종 - 1예 보고 -

  • Kim, Jeong-Won (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Jung, Jong-Pil (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Park, Soon-Eun (Department of Anesthesiology and Pain Medicine, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kim, Young-Min (Department of Diagnostic Pathology, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Park, Chang-Ryul (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Shin, Je-Kyoun (Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine)
  • 김정원 (울산대학교 의과대학 울산대학교병원 흉부외과학교실) ;
  • 정종필 (울산대학교 의과대학 울산대학교병원 흉부외과학교실) ;
  • 박순은 (울산대학교 의과대학 울산대학교병원 마취통증의학과교실) ;
  • 김영민 (울산대학교 의과대학 울산대학교병원 병리과학교실) ;
  • 박창률 (울산대학교 의과대학 울산대학교병원 흉부외과학교실) ;
  • 신제균 (울산대학교 의과대학 울산대학교병원 흉부외과학교실)
  • Published : 2007.09.05
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Abstract

Papillary fibroelastoma is a rare benign cardiac tumor with an elevated risk for embolization and most papillary fibroelastomas do not cause symptoms. In this report, we describe a case of previous undiagnosed masses of the aortic valve that were incidentally found on intraoperative transesophageal echocardiography during coronary artery bypass surgery. Upon surgery, masses were found on the left and right aortic cusps and the pathological findings were consistent with a papillary fibroelastoma.

유두상 섬유탄력종은 드문 양성 심장 종양으로 대부분 증상이 없으나 전신 색전증의 위험성이 높다. 저자들은 관상동맥우회술을 준비하면서 정기적인 수술실 내 경식도 심장초음파검사를 시행하던 중 우연히 대동맥 판막의 종양을 발견하였다. 좌측 및 우측 대동맥판막 첨판에 부착되어 있던 종양은 수술로 완전절제되었으며, 병리학적 검사에서 유두상 섬유탄력종으로 확진되었다. 이에 저자들은 수술 중 경식도 심장초음파의 중요성에 대하여 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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