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[Ectopic thyroid tissue in the heart--two case reports]

C Dresler1, M Werner, T Wahlers

  • 1Abteilung für Thorax-, Herz- und Gefässchirurgie, Medizinische Hochschule Hannover.

Deutsche Medizinische Wochenschrift (1946)
|October 13, 1995
PubMed
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Two women with cardiac tumors diagnosed as ectopic thyroid tissue experienced symptom relief after surgical resection and coronary artery bypass grafting. Both patients remained symptom-free post-surgery.

Area of Science:

  • Cardiology
  • Pathology
  • Cardiothoracic Surgery

Background:

  • Ectopic thyroid tissue in the heart is a rare congenital anomaly.
  • Cardiac tumors can present with various cardiovascular symptoms.

Observation:

  • Two women, aged 61 and 34, presented with cardiac symptoms including cough, dyspnea, and murmurs.
  • Electrocardiogram (ECG) revealed incomplete right bundle branch block (IRBBB) and abnormal repolarization in both patients.
  • Echocardiography identified right ventricular tumors arising from the interventricular septum.

Findings:

  • Surgical resection of the tumors revealed histologically confirmed ectopic thyroid tissue (benign).
  • The 61-year-old patient also underwent left mammary artery to anterior interventricular branch coronary artery bypass grafting.

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  • Both patients experienced complete symptom resolution following treatment.

    • Implications:

    • This case series highlights the importance of considering ectopic thyroid tissue in the differential diagnosis of cardiac tumors.
    • Surgical intervention can be effective in managing these rare cardiac anomalies.
    • Successful outcomes demonstrate the feasibility of combined tumor resection and revascularization when indicated.