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J Thorac Cardiovasc Surg 2010;140:e11-e12
© 2010 The American Association for Thoracic Surgery

Brief Clinical Report

Mitral valve lipomatous hamartoma infiltrating myocardium

Aarne Jyrala, MD*, Gregory L. Kay, MD

Heart Institute at Good Samaritan Hospital, Department of Cardiothoracic Surgery, Los Angeles, Calif

Received for publication June 4, 2009; accepted for publication July 5, 2009.

* Address for reprints: Aarne Jyrala, MD, 13238 Fiji Way A, Marina Del Rey, CA 90292. (Email: lathoracic@hotmail.com).

The first 20% of the full text of this article appears below.


   Introduction
 
Primary cardiac neoplasms are very rare. The incidence is reported to be 0.001% to 0.03% in autopsy series. Of these, about 10% are valvular and the majority are benign. Only a few malignant valvular tumors have been described in the literature.1Go Most valvular tumors are small and asymptomatic but may present with a variety of symptoms including arrhythmias, particulate or thrombotic embolizations, valvular stenosis or regurgitation with congestive heart failure, and even sudden death.2,3Go

Primary valvular lipomatous hamartomas have been described until now in only 9 patients: 5 patients with mitral hamartomas, 3 with tricuspid hamartomas, and 1 with aortic hamartoma.4,5Go


   Clinical Summary
 
Our patient was a 28-year-old healthy woman. She had had 4 uncomplicated . . . [Full Text of this Article]






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