CARDIOVASCULAR JOURNAL OF AFRICA • SAHS Biennial Congress 16-18 September 2022 53 AFRICA Submission ID: 1357 Introduction Cardiac tumours are intracardiac masses that are rarely encountered compared to pseudo-tumours. They are subdivided into secondary tumours, the most frequent, and primary tumours representing 5%. The latter are made up of 10% malignant tumours and 90% benign tumours, of which myxoma is the leader. Its size and in particular its location on the mitral tract is rare, in the order of 1-5%, associated with severe symptoms and a huge complication. Methods This was a 65-year-old diabetic patient who presented with worsening dyspnoea in whom a transthoracic echocardiography completed by a transesophageal echocardiography, a cardiac MRI, a cerebro-throracoabdominopelvic PET-scan showed a cauliflower-like mass embedded on the small mitral valve, evoking the diagnosis of myxoma, confirmed by anatomopathological examination. A lumpectomy with mitral valve plasty was performed in association with coronary bypass surgery for a tritruncal lesion. The evolution was marked by an improvement of the clinical and echographic state. Results Myxoma is the first benign tumour encountered in women between the 3rd and 6th decade, the diagnosis of which is evoked by a TTE, better by a TEE or more, by a CT or even a cardiac MRI which specify the visualization of the soft tissues with all the internal details of the myxoma, the confirmation of which is carried out on the histopathological analysis of the operative part. Conclusion The management is based on resection of the tumour completed by a mitral valve plasty. Early mortality is less than 5%, and in-hospital mortality is zero. The risk of recurrence is 1-4% in sporadic myxomas. Name: Presenting Author Information Article Category Abstract Title Cardiologie maschellmahoungou@gmail.com English Abstract Clinical Intracardiac stenosing mass of the Mitral Valve: a case report. Author Affiliation: Email: Mahoungou Mackonia Noel Maschell Authors Name & Surname Title Expertise Affiliation Email Country Mahoungou Mackonia Noel Maschell Résident Cardiologie CHU Ibn Rochd,Casablanca maschellmahoungou@gmail.com Morocco Nassour Brahim Résident Cardiologie CHU Ibn Rochd,Casablanca doctabra10aware@gmail.com Morocco EL Mousaid Meriem Résident Cardiologie CHU Ibn Rochd,Casablanca meryelmousaid@gmail.com Morocco Abdenasser Drighil Professeur Cardiologie CHU Ibn Rochd,Casablanca A.drighil@gmail.com Morocco Leila Azzouzi Professeur Cardiologie CHU Ibn Rochd,Casablanca Azzouzi.L@gmail.com Morocco Rachida Habbal Professeur Cardiologie CHU Ibn Rochd,Casablanca RachidaH.@gmail.com Morocco POSTER PRESENTATION
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