[Operation for Intracardiac Angiomyolipoma;Report of a Case].
Primary tumors of the heart are rare. In the literature operations for heart tumors account for 0.3% of all cardiac surgical procedures. We report a very rare case of primary cardiac angiomyolipoma. A 39-years-old man was admitted with chest discomfort. A mass was detected in the left ventricular myocardium by enhanced chest computed tomography. We performed resection of the intramyocardial tumor under cardiopulmonary bypass. Pathologic examination revealed a 4×3×3 cm, dome-shaped, solid tumor composed of a mixture of blood vessels, smooth muscle, and fat tissue. Histopathological findings showed that the tumor was angiomyolipoma. Angiomyolipoma is a benign tumor and usually develop in the kidney and are associated with tuberous sclerosis. In our case, there was no evidence of tuberous sclerosis.
Department of Cardiovascular Surgery, St. Marianna University School of Medicine, Yokohama City Seibu Hospital, Yokohama, Japan.
Hitoshi
H
Endo
Makoto
M
Ohno
Toshiya
T
Kobayashi
D000328:Adult; D018207:Angiomyolipoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D017023:Coronary Angiography; D004452:Echocardiography; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome