－S 805 －
― S-117 ―
Papillary fibroelastoma presenting as left ventricular mass
Department of Medicine, Inje University College of Medicine
*Jin-Han Park, Sang-Hoon Seol, Dong-Soo Kim, Dong-Kie Kim, Young-Bok Kim, Ung-Kim Tae-Hyun Yang, Dae-Kyeong Kim and Doo-Il Kim
Papillary fibroelastoma (PFE) is rare and benign cardiac tumor that typically affect the cardiac valves. It usually found incidentally on routine echocardiography. But, left ventricle PFE is extremely rare. This report describes the case of a 73-year-old female, who was referred to a cardiology department for evaluation of a mass of left ventricle. The mass was found incidentally preoperative echocardiography. The transthoracic echocardiography revealed a 2.16 x 1.34 cm highly oscillating mass in the left ventricle, attatched to the posterolateral and inferior wall (Figure 1A). Cardiac magnetic resonance imaging demonstrated a non-enhanced, 1.8 x 1 cm mass on inferior wall of left ventricle (Figure 1B). The patient underwent surgical resection of the mass and histopathologic examination of the mass confirmed the diagnosis of a PFE.
― S-118 ―
Causes and outcomes in patients underwent primary pecutaneous coronary angiogram with angiographically normal coronary arteries
계명대학교 동산의료원 내과
*신홍원, 조윤경, 손지현, 한춘덕, 박형섭, 윤혁준, 김형섭, 남창욱, 허승호, 김윤년, 김권배
Backgrounds: A minority of patients underwent primary percutaneous coronary angiogram(PPCI) have angiographically normal coronary arteries. We aimed to assess its incidence, identify possible etiologies, clinical manifestation and determine long-term prognosis. Methods: In this single-center retrospective cohort study, of 520 patients who underwent PPCI, fifty one patients with angiographically normal coronary arteries were consecutively included from March 2003 to July 2009. Results: Diagnosis at discharge was variant angina in nineteen patients (36.5%), gastro-esophageal reflux diseases in ten patients(19.2%), pericarditis in six (11.5%), stress induced cardiomyopathy in three (5.8%), acute myocarditis in three (5.8%). Other diagnosis was severe aortic valve stenosis, panic disorder, pulmonary thrombo-embolism, aortic dissection. Two years major adverse cardiac events is 1.95%. Conclusions: The prevalence of normal coronary angiography in patient underwent PPCI with normal coronary arteries was about 0.98%. Most of patients who had shown normal coronary angiogram during PPCI were diagnosed as not myocardial infarction. Careful pre-interventional evaluation should be needed before PPCI.
