Left Ventricular Myxoma Occluding the Suprarenal Abdominal Aorta in an Infant Takuya Kawabata, MD, PhD, Shingo Kasahara, MD, PhD, Shin-ichi Ohtsuki, MD,

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Left Ventricular Myxoma Occluding the Suprarenal Abdominal Aorta in an Infant Takuya Kawabata, MD, PhD, Shingo Kasahara, MD, PhD, Shin-ichi Ohtsuki, MD, PhD, Yosuke Kuroko, MD, PhD, Yasuhiro Kotani, MD, PhD, Yasuhiro Fujii, MD, PhD, Ko Yoshizumi, MD, PhD, Sadahiko Arai, MD, PhD, Shunji Sano, MD, PhD The Annals of Thoracic Surgery Volume 100, Issue 1, Pages 309-311 (July 2015) DOI: 10.1016/j.athoracsur.2014.08.066 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Images of contrast-enhanced computed tomographic scan performed at the referring hospital and an image of the tumor in the left ventricle by transthoracic echocardiography. (A) A suprarenal abdominal aortic embolism measuring 16.4 × 9.4 mm is detected (arrow). (B) An abnormal shadow defect is identified in the left ventricle (arrow). (C) Transthoracic echocardiography shows a solid left ventricle tumor on the ventricular septum in four-chamber view (arrow). The tumor has no stalk. No obstruction of the mitral valve or the outflow tract of the left ventricle is detected. The tumor measures 16.2 × 10.6 mm. (Ao = aorta; IVC = inferior vena cava; LA = left atrium; LV = left ventricle; RA = right atrium; RK = right kidney; RV = right ventricle.) The Annals of Thoracic Surgery 2015 100, 309-311DOI: (10.1016/j.athoracsur.2014.08.066) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Pathologic findings. (A) Gross features of the excised left ventricular myxoma. It is a gelatinous, sessile, and ovoid with a gently lobulated surface and measures 25 × 15 × 8 mm. (B) High-power microscopic appearance (×40) with hematoxylin and eosin staining. Stellate or spindle cells are seen surrounded by myxoid stroma. Mitosis, pleomorphism, and necrosis are absent. (HE = hematoxylin and eosin.) The Annals of Thoracic Surgery 2015 100, 309-311DOI: (10.1016/j.athoracsur.2014.08.066) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions