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Date Published: 20/12/2019
Online Published: 03/11/2020
Abstract Views: 261
Views PDF: 180
DOI: https://doi.org/10.47972/vjcts.v27i.41
Issue
Vol. 27
Section
Research Article
How to Cite
Nguyen Ngoc Trung, Nguyen Truong Giang, Vu Duc Thang, Pham Vu Thu Ha, Tran Dac Tiep, Nguyen Chi Tue, Le Ba Hanh, & Nguyen The Kien. (2020). Papillary fibroelastoma of the left ventricle combined with coronary artery disease: A case study. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 27, 10-13. https://doi.org/10.47972/vjcts.v27i.41

Papillary fibroelastoma of the left ventricle combined with coronary artery disease: A case study

Nguyen Ngoc Trung , Nguyen Truong Giang , Vu Duc Thang , Pham Vu Thu Ha , Tran Dac Tiep , Nguyen Chi Tue , Le Ba Hanh , Nguyen The Kien

Main Article Content

Abstract

Primary heart tumor is a very rare disease, accounting for about 0.0017 - 0.28% of all tumors. In particular, papillary fibroelasroma (PFE) combined with coronary disease (CAD)is extremely rare. We report a case of PFE of the left ventricle combined coronary artery disease. A 67- year-old woman who was admitted for chest pain and her subsequent transthoracic and transesophageal echocardiography showed a mass of myocardial density, high mobility, measuring 14x18mm in the left ventricle, attached to the anterolateral papillary muscle. Other findings were mild mitral and tricuspid regurgitation, no pulmonary hypertension, and normal left ventricular systolic function. Coronary angiography showed stenosis of the left main (40%), and significant stenosis of the left anterior descending artery (LAD) (80%), left circumflex artery (LCx) (90%) and right coronary artery (RCA) (80%). The patient underwent a median sternotomy with cardiopulmonary bypass. The tumor was removed via the mitral valve and coronary artery bypass grafting to the LAD, LCx and RCA was performed using the left internal thoracic artery and saphenous vein grafts. The histopathology and immunohistochemistry analysis of the sample confirmed the diagnosis of PFE. Postoperative follow-up showed no sign of recurrence up to 4 months.

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References

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