title: A giant myxoma originating from the aortic valve causing severe left ventricular tract obstruction: a case report and literature review.
abstract: BACKGROUND
  The left ventricular localization of a myxoma is very rare, usually arising from the interventricular septum close to the left ventricular outflow tract, the mitral valve, the ventricular wall and extremely rarely the aortic valve.
  
  
  METHODS
  A 13-year-old male was admitted due to dyspnea and angina. Transesophageal echocardiography revealed left ventricular outflow tract obstruction with a mean gradient of 58 mmHg, and a mobile mass measuring 65×25 mm originating from the ventricular surface of the aortic valve was identified. The patient underwent urgent surgical excision and aortic valve replacement. Histopathological examination of the mass confirmed the diagnosis of a myxoma.
  
  
  CONCLUSIONS
  In conclusion, a myxoma originating from the aortic valve remains a very rare localization. Total resection associated with aortic valve replacement seems to offer an excellent outcome.
authors.affiliation: Division of Cardiac Surgery, University Hospital Center of Tirana, Tirana, Albania. edvinprifti@hotmail.com.
authors.forename: Edvin
authors.initials: E
authors.lastname: Prifti
authors.affiliation: Division of Cardiology, Regional Hospital of Gjakova, Rr. Prizren, Gjakova, Kosovo. fadilademaj-kosove@hotmail.com.
authors.forename: Fadil
authors.initials: F
authors.lastname: Ademaj
authors.affiliation: Division of Cardiac Surgery, University Hospital Center of Tirana, Tirana, Albania. ekajo@yahoo.com.
authors.forename: Efrosina
authors.initials: E
authors.lastname: Kajo
authors.affiliation: Division of Cardiac Surgery, University Hospital Center of Tirana, Tirana, Albania. arbenbaboci@hotmail.com.
authors.forename: Arben
authors.initials: A
authors.lastname: Baboci
mesh_terms: D000293:Adolescent; D001021:Aortic Valve / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D009232:Myxoma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D011379:Prognosis; D018487:Ventricular Dysfunction, Left / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014694:Ventricular Outflow Obstruction / Q000209:etiology* / Q000473:pathology / Q000601:surgery