Why the study?
Multiple left ventricular myxomas are exceedingly rare, accounting for only a fraction of cardiac myxomas, and their coexistence with severe rheumatic valvular lesions is seldom reported.
Surgical resection combined with valve replacement and repair is an effective treatment for the rare coexistence of multiple left ventricular myxomas and severe rheumatic valve disease.
Supports feasibility of combined surgery for rare LV myxomas with rheumatic valves; leaves open need for larger studies.
BACKGROUND: Primary cardiac tumors are uncommon, of which cardiac myxoma accounts for 50%-80%. Left ventricular myxoma has been rarely reported, accounting for only 3%-4% of all cardiac myxomas. Multiple left ventricular myxomas are, relatively, even rarer. CASE SUMMARY: In this report, we present a case of multiple left ventricular myxomas combined with severe rheumatic valve lesions. Symptomatically, the patient presented with fatigue, shortness of breath, and palpitation after activities. The patient underwent complete surgical resection of multiple left ventricular myxomas combined with mechanical replacement of the mitral and aortic valves, tricuspid valvuloplasty. The patient recovered well after the operation, with no obvious related complications. CONCLUSION: Multiple left ventricular myxomas may coexist with severe rheumatic valve disease. Operation is an effective treatment.
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Liu et al. (2021) studied this question.
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