Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2021; 9(20): 5535-5539
Published online Jul 16, 2021. doi: 10.12998/wjcc.v9.i20.5535
Multiple left ventricular myxomas combined with severe rheumatic valvular lesions: A case report
Sheng-Zhong Liu, Ying Hong, Ke-Li Huang, Xiao-Ping Li
Sheng-Zhong Liu, Ke-Li Huang, Cardiac Surgery Center, Sichuan Academy of Medical Sciences & Sichuan Provincial People’s Hospital, Chengdu 610072, Sichuan Province, China
Ying Hong, Department of Cardiology, Chengdu University of Traditional Chinese Medicine, Chengdu 610075, Sichuan Province, China
Xiao-Ping Li, Department of Cardiology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan Province, China
Author contributions: Liu SZ and Hong Y contributed equally to this work; Hong Y collected the clinical data and wrote the manuscript; Liu SZ provided this case and drafted the manuscript; Liu SZ and Huang KL performed the surgery; Li XP helped perform the analysis with constructive discussions and approved the final version of the manuscript; all authors read and approved the final manuscript.
Supported by National Natural Science Foundation of China, No. 81770379.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Ping Li, PhD, Associate Professor, Department of Cardiology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, No. 32 Section 2 West 1st Ring Road, Chengdu 610072, Sichuan Province, China. lixiaoping0119@163.com
Received: November 8, 2020
Peer-review started: November 8, 2020
First decision: April 29, 2021
Revised: May 10, 2021
Accepted: May 17, 2021
Article in press: May 17, 2021
Published online: July 16, 2021
Abstract
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.

Keywords: Left ventricular myxoma, Multiple, Rheumatic valvular lesions, Cardiac tumor, Surgery, Case report

Core Tip: The patient in our case complained of fatigue, shortness of breath, and palpitation after activities. Based on a series of examinations, he was diagnosed with multiple left ventricular myxomas combined with severe rheumatic valve lesions; clinically, this is a relatively rare case.