case_images: PMC11008678_01
case_images: Preoperative transthoracic echocardiography reveals a slightly hyperechoic, approximately 32 mm by 16 mm mass in the posterior wall of the left ventricle (A) echogenic "string of beads" is observed wiggling in the left ventricular outflow tract, with one end connected to the posterior part of the left ventricle and the other end appearing to be connected to the left coronary sinus of the aorta (B) postoperative transesophageal echocardiogram shows complete removal of the mass (C) postoperative transesophageal echocardiogram shows competent mitral valve (D) preoperative transthoracic echocardiogram shows competent mitral valve (E) postoperative transthoracic echocardiogram mitral valve shows trivial regurgitation (F).
case_images: fcvm-11-1357747-g001.jpg
case_images: PMC11008678_01_fcvm-11-1357747-g001.jpg
case_images: F1
case_images: Preoperative transthoracic echocardiography revealed a hyperechoic, approximately 32 mm by 16 mm mass in the posterior wall of the left ventricle (Figure 1A). In addition, an echogenic "string of beads" was observed wiggling in the left ventricular outflow tract, with one end connected to the posterior part of the left ventricle and the other end appearing to be connected to the left coronary sinus of the aorta (Figure 1B). Postoperative transesophageal echocardiogram showed complete removal of the mass (Figure 1C) and competent mitral valve (Figure 1D). There was trivial regurgitation of the mitral valve (Figure 1F).
case_images: It shows that part of the mass resembles a string of beads (A) the other part is embedded in the posterior left ventricular wall close to the posterolateral papillary muscle (B).
case_images: fcvm-11-1357747-g002.jpg
case_images: PMC11008678_01_fcvm-11-1357747-g002.jpg
case_images: F2
case_images: It was shown that part of the mass was like a string of beads (Figure 2A), while the other part was embedded in the posterior left ventricular wall, close to the posterolateral papillary muscle (Figure 2B).
case_images: The close-up of the specimen (A) subsequent histopathological analysis confirmed the mass as a cardiac fibroma with myxoid degeneration (B,C). On the pathological slide it shows on the left the mass part and on the right the string part (D) the histology images of the wiggling string part (E) the histology images of the mass part (F).
case_images: fcvm-11-1357747-g003.jpg
case_images: PMC11008678_01_fcvm-11-1357747-g003.jpg
case_images: F3
case_images: Subsequent histopathological analysis confirmed the mass as a cardiac fibroma with myxoid degeneration (Figure 3).