Multiple left ventricular myxomas combined with severe rheumatic valvular lesions: A case report

Figure 1 Transesophageal echocardiography demonstrates multiple abnormal masses were in the left ventricle. A: Apical three chamber view showed abnormal echo masses in the anterior septum and posterior wall of the left ventricle (arrows); B: Apical four chamber echocardiography showed abnormal echo mass in left ventricular posterior septum and mitral leaflet (arrows).

Figure 2 Histopathological findings. A. The tumor cells were irregular, surrounded by empty halos, and scattered with sparse stroma; B: The valve specimens manifested fibrous tissue hyperplasia, hyaline degeneration, and mucoid degeneration.

Figure 3 Intra-operative finding. A: Multiple masses were found in the left ventricular outflow tract (arrows); B: Multiple masses were found in the anterior mitral valve (arrows).