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KMID : 0390620110190040207
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Journal of Cardiovascular Ultrasound
2011 Volume.19 No. 4 p.207 ~ p.210
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Tricuspid Valvular Myxoma: Unusual Case of Tricuspid Valve Myxoma Mimicking Thrombus after Pulmonary Artery Embolectomy and Tricuspid Annuloplasty in Pulmonary Thromboembolism Patient
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Park Min-Yong
Kwon Sung-Uk
Lee Sung-Yun
Kang Bo-ram
Kim Hyung-Yoon
Cho Yu-Jung
Chang Woo-Ik
Chang Sun-Hee
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Abstract
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55-year-old man with massive pulmonary thromboembolism underwent thrombolysis, pulmonary artery embolectomy and tricuspid annuloplasty. Nine months later, a mobile echogenic intra-cardiac mass was found in the tricuspid valve. Because the patient had undergone annuloplasty, thrombosis was suspected as the most likely diagnosis and thrombolytic therapy was instituted. However, the size of the cardiac mass did not change and after surgical excision the mass was found to be a myxoma. Cardiac valvular tumors are uncommon and when they occur they are usually slow growing fibroelastomas. In this case, the rapid growing cardiac myxoma on the tricuspid valve was found after the occurrence of pulmonary thromboembolism. To our knowledge, this is first reported case of tricuspid valve myxoma in Korea.
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KEYWORD
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Pulmonary thromboembolism , Thrombosis , Valvular myxoma
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