Intravalvular regurgitation of the mitral bioprosthetic valve detected by intraoperative transesophageal echocardiography - A case report -

Kim, Dae–Hee; Park, Sung Yong; Kim, Kye Sook; Choi, Jeong Woong; Hong, You Sun; Hong, Yong Woo

doi:10.4097/kjae.2009.56.6.709

Cited by 1 publication

(1 citation statement)

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“…Occasionally, a small cardiac papillary fibroelastoma may not be detected with transthoracic echocardiography; therefore, transesophageal echocardiography is required to further assess such a small tumor. Computed tomography and magnetic resonance imaging are also helpful in detecting cardiac papillary fibroelastoma, but their diagnostic accuracy is relatively low [ 5 ]. The mobility and location of the papillary fibroelastoma that has developed on the valvular surface can be misdiagnosed as infective vegetation.…”

Section: Discussionmentioning

confidence: 99%

Tricuspid Papillary Fibroelastoma Mimicking Tricuspid Vegetation in a Patient with Severe Neutropenia

Choi

Kim

et al. 2016

Korean J Thorac Cardiovasc Surg

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We report a 72-year-old male with known myelodysplastic syndrome who presented to the emergency department with a 7-day history of fever and dyspnea. Echocardiography revealed a round echogenic mass 13×16 mm in size attached to the atrial side of the tricuspid valve. Considering the high risk of infective endocarditis in the patient with a low absolute neutrophil count (130/mm3), emergency surgery was performed. Intraoperatively, a single gelatinous neoplasm was resected, and subsequent reconstruction of the involved leaflet was accomplished using autologous pericardium. The tumor was pathologically confirmed as papillary fibroelastoma with no evidence of infective endocarditis. Papillary fibroelastoma is a rare cardiac neoplasm that occurs in either the mitral or aortic valves. Interestingly, a few cases of tricuspid valve papillary fibroelastoma have been reported so far. Similar echocardiographic findings between vegetation and tricuspid valve neoplasm make it difficult to distinguish these two disease entities.

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Section: Discussionmentioning

confidence: 99%