Blood Cyst of the Right Ventricle Presenting as Recurrent High Fever and Chills in an Adult

Dumantepe, Mert; Ak, Koray; Mungan, Ufuk; Alp, Ibrahim; Inan, Bilal Kaan; Yılmaz, Ahmet

doi:10.1016/j.athoracsur.2008.06.032

Cited by 11 publications

(10 citation statements)

References 9 publications

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“…Cardiac blood cysts are common congenital malformations in infancy, but this is rare in adulthood. Most blood cysts are found on the left side of the heart and on atrioventricular valves . Rarely, they originate from the right atrium and ventricle .…”

Section: Discussionmentioning

confidence: 99%

Tricuspid regurgitation due to blood cyst

Aydın

Engin²,

Kul

2019

Echocardiography

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A 68-year-old female patient presented with increased effort dyspnea and pretibial edema for a month. Our patient did not have a history of heart failure or myocardial infarction. Physical examination revealed bilateral crepitate rale in basal areas of lungs and bilateral pretibial edema, high-pitched systolic murmur heard in the right lower sternal region. Patient's electrocardiogram was normal except incomplete right bundle branch block and the chest roentgenogram demonstrated the infiltrations in basal areas of lungs. All laboratory tests of the patient are in normal limits. An echocardiography planned for further diagnosis and treatment. It was detected a mobile 20.7 × 22.9 mm cystic circular mass attached to atrial side of septal tricuspid leaflet, which was prolapsing into right atrium during systole and the right ventricle during diastole (Figures 1 and 2 and Movies S1-S3). Left and right ventricle functions were normal.Doppler echocardiography showed mild and moderate tricuspid regurgitation without obstruction in the right ventricular inflow. For further examination of the mass, transoesophageal echocardiography and three-dimensional transoesophageal echocardiography were performed (Figures 1 and 2, Movie S4). The mass had a thin wall and an ecolucent core. The findings, in this case, showed the essential role of echocardiography in the assessment of intra-cardiac masses because it provided sufficient information about size and attachment. According to these characteristic findings, we diagnosed the mass blood-filled cyst of tricuspid valve. | D ISCUSS I ONCardiac blood cysts are common congenital malformations in infancy, but this is rare in adulthood. Most blood cysts are found on the left side of the heart and on atrioventricular valves. 1,2 Rarely, they originate from the right atrium and ventricle. 3,4 There is still uncertainty about the pathophysiology and embryonic development of such cysts. Several hypotheses have been proposed about the development of these cysts. A hypothesis then involves the formation AbstractCardiac blood cysts are confirmed by autopsies in stillbirths but rarely detected in adults. Although cardiac blood cysts are common in newborns, they disappear within a few months after birth. These cysts are blood-filled diverticula surrounded by endothelium. Their possible etiology is invaginations of atrial endothelium into the stroma of atrioventricular valves. Most blood cysts originate from the left side of the heart and are located on the atrioventricular valves. Complication is followed in very little cases, such as embolic stroke, valvular dysfunction, and ventricular outflow system obstruction. The blood cysts leading to complications should be removed surgically.

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Section: Discussionmentioning

confidence: 99%

Tricuspid regurgitation due to blood cyst

Aydın

Engin²,

Kul

2019

Echocardiography

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“…They can cause symptoms because of cardiac chamber obstruction, systemic embolization, and arrhythmias. Nevertheless, quite frequently they remain asymptomatic 4 . Asymptomatic small blood cysts identified in neonates can be managed conservatively.…”

Section: Discussionmentioning

confidence: 99%

Right Ventricular Blood Cyst Causing Outflow Tract Obstruction in an Adult

Roubelakis

Moorjani

Modi

et al. 2012

Journal of Cardiac Surgery

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“…2 In adults, cardiac blood cysts have been reported on the mitral valve, [2][3][4] papillary muscles, 5 right atrium, 6 right ventricle, 7 LV, 8 and the aortic, 9 pulmonic, 10 and tricuspid 11 valves. Reported complications include LV outflow obstruction, 5 occlusion of the coronary arteries, 6 valvular stenosis or regurgitation, [9][10][11] and embolic stroke.…”

Section: Discussionmentioning

confidence: 99%

Incidental Left Atrial Blood Cyst in a Patient Undergoing Transcatheter Aortic Valve Replacement

Suero¹,

Shah²,

Hughes-Doichev³

2015

Texas Heart Institute Journal

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B lood cysts of the heart are primary cardiac tumors that usually disappear by the age of 6 months and are rarely reported in adults. A blood cyst within the left atrium has to our knowledge never been reported. Transcatheter aortic valve replacement (TAVR) has emerged as an alternative to surgical aortic valve replacement in patients with severe aortic stenosis who are deemed to be inoperable or at high risk for surgery. The outcome of performing TAVR in the presence of an intracardiac blood cyst has not been reported in the medical literature.We present the case of a woman with symptomatic severe aortic stenosis who underwent TAVR, despite having a left atrial blood cyst that was found incidentally on transesophageal echocardiography (TEE). Case ReportIn January 2013, a 78-year-old woman with a history of hypertension, nonobstructive coronary artery disease, hypothyroidism, and tobacco abuse presented to her primary care physician with reports of excessive fatigue, chest pain, and dyspnea on exertion for the preceding 6 months, progressively worsening during the last 8 weeks. The patient denied any shortness of breath at rest, lower-extremity edema, orthopnea, paroxysmal nocturnal dyspnea, syncope, or palpitations. She had no recent history of hospitalizations for acute coronary syndrome, congestive heart failure, or arrhythmias; and no recent long-distance travel or infectious illness. She was not taking an anticoagulative medication. An outpatient echocardiogram revealed concentric left ventricular (LV) hypertrophy, preserved LV ejection fraction, mild aortic regurgitation, and severe aortic stenosis (a valve area of 0.9 cm 2 by continuity equation, a peak aortic valve gradient of 94 mmHg, and a mean transvalvular gradient of 51 mmHg). A computed tomogram of the chest with intravenous contrast showed no evidence of pulmonary embolus, but did show ground-glass opacities in both lungs and severe calcification of the aortic valve, coronary arteries, aortic arch, and ascending and descending segments of the aorta. A filling defect was noted within the left atrium and

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Blood Cyst of the Right Ventricle Presenting as Recurrent High Fever and Chills in an Adult

Cited by 11 publications

References 9 publications

Tricuspid regurgitation due to blood cyst

Tricuspid regurgitation due to blood cyst

Right Ventricular Blood Cyst Causing Outflow Tract Obstruction in an Adult

Incidental Left Atrial Blood Cyst in a Patient Undergoing Transcatheter Aortic Valve Replacement

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