Thorac Cardiovasc Surg 2005; 53(3): 180-183
DOI: 10.1055/s-2005-837636
Short Communication

© Georg Thieme Verlag KG Stuttgart · New York

Mitral Prolapse Caused by Lymphangioma

B. Flörchinger1 , P. Rümmele2 , C. Lehane1 , F. X. Schmid1 , D. E. Birnbaum1
  • 1Department of Cardiothoracic Surgery, University Hospital of Regensburg, Regensburg, Germany
  • 2Institute for Pathology, University Hospital of Regensburg, Regensburg, Germany
Further Information

Publication History

Received August 1, 2004

Publication Date:
30 May 2005 (online)

Abstract

A 62-year-old female patient with known mitral-valve prolapse for the previous five years presented with progressive dyspnea and intermittent palpitations. This clinical presentation was investigated by two-dimensional echocardiography which revealed moderate mitral regurgitation due to a pedunculated mass oscillating between the left atrium and the left ventricle. Successful operative treatment consisted of en-bloc resection of the tumor from the anterior mitral valve leaflet and its primary cords and subsequent reconstruction of the mitral valve. Pathohistological examination revealed a cystic lymphangioma originating from mitral-valve tissue. To our knowledge this is the first reported case in the literature.

References

  • 1 Burke A, Virmani R. Tumors of the heart and great vessels. Atlas of Tumor Pathology, Fascicle 16, 3rd series. Washington DC; Armed forces Institute of Pathology 1996: 78-89
  • 2 Miralles A, Bracamonte L, Soncul H, Diaz del Castillo R. Cardiac tumors: clinical experience and surgical results in 74 patients.  Ann Thorac Surg. 1991;  52 886-895
  • 3 Tatsuru K, Hideo T, Hiroyuki N, Hiroyuki T, Hiromitsu M. Cardiac lymphangioma: Case report and review of the literature.  Jour Pediatr Surg. 2002;  37 1-3
  • 4 Hatipoglu A. Intrapericardial and cardiac lymphangiomas.  Pediatr Cardiol. 1998;  19 192
  • 5 Anbe D T, Fine G. Cardiac lymphangioma and lipoma.  Am Heart Jour. 1973;  86 227-235
  • 6 Jougon J, Laborde M N, Parrens M, MacBride T. Cystic lymphangioma of the heart mimicking a mediastinal tumor.  Europ J Cardio-thoracic Surg. 2002;  22 476-478
  • 7 Weiss S, Goldblum J. Tumors of lymph vessels;. Enzinger, Weiss Soft Tissue Tumors. 4th ed. St. Louis; Mosby Inc 2001: 956-973
  • 8 Bossert T, Gummert J G, Mohr F W. Giant cystic lymphangioma of the mediastinum.  Eur J Cardiothoracic Surg. 2002;  21 3

Dr. Bernhard Flörchinger

Department of Cardiothoracic Surgery
University Hospital of Regensburg

Franz-Josef-Strauss-Allee 11

93051 Regensburg

Germany

Phone: + 9419449810

Email: bernhard.floerchinger@klinik.uni-regensburg.de

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