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Giant Blood Cyst of the Mitral Valve

2005; Lippincott Williams & Wilkins; Volume: 112; Issue: 22 Linguagem: Inglês

10.1161/circulationaha.105.546390

1524-4539

Hiroyuki Yamamoto, Satoshi Nakatani, Kazuo Niwaya, Toshinari Ohnishi, Masaaki Uematsu, Masafumi Kitakaze,

Cardiac Valve Diseases and Treatments

HomeCirculationVol. 112, No. 22Giant Blood Cyst of the Mitral Valve Free AccessReview ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissionsDownload Articles + Supplements ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toSupplementary MaterialsFree AccessReview ArticlePDF/EPUBGiant Blood Cyst of the Mitral ValveEchocardiographic and Intraoperative Images Hiroyuki Yamamoto, MD, Satoshi Nakatani, MD, Kazuo Niwaya, MD, Toshinari Ohnishi, MD, Masaaki Uematsu, MD and Masafumi Kitakaze, MD Hiroyuki YamamotoHiroyuki Yamamoto From the Departments of Cardiology (H.Y., S.N., M.K.) and Cardiothoracic Surgery (K.N.), National Cardiovascular Center, Suita, and the Department of Cardiology (T.O., M.U.), Kansai Rosai Hospital, Amagasaki, Japan. , Satoshi NakataniSatoshi Nakatani From the Departments of Cardiology (H.Y., S.N., M.K.) and Cardiothoracic Surgery (K.N.), National Cardiovascular Center, Suita, and the Department of Cardiology (T.O., M.U.), Kansai Rosai Hospital, Amagasaki, Japan. , Kazuo NiwayaKazuo Niwaya From the Departments of Cardiology (H.Y., S.N., M.K.) and Cardiothoracic Surgery (K.N.), National Cardiovascular Center, Suita, and the Department of Cardiology (T.O., M.U.), Kansai Rosai Hospital, Amagasaki, Japan. , Toshinari OhnishiToshinari Ohnishi From the Departments of Cardiology (H.Y., S.N., M.K.) and Cardiothoracic Surgery (K.N.), National Cardiovascular Center, Suita, and the Department of Cardiology (T.O., M.U.), Kansai Rosai Hospital, Amagasaki, Japan. , Masaaki UematsuMasaaki Uematsu From the Departments of Cardiology (H.Y., S.N., M.K.) and Cardiothoracic Surgery (K.N.), National Cardiovascular Center, Suita, and the Department of Cardiology (T.O., M.U.), Kansai Rosai Hospital, Amagasaki, Japan. and Masafumi KitakazeMasafumi Kitakaze From the Departments of Cardiology (H.Y., S.N., M.K.) and Cardiothoracic Surgery (K.N.), National Cardiovascular Center, Suita, and the Department of Cardiology (T.O., M.U.), Kansai Rosai Hospital, Amagasaki, Japan. Originally published29 Nov 2005https://doi.org/10.1161/CIRCULATIONAHA.105.546390Circulation. 2005;112:e341A 25-year-old, apparently healthy woman was referred to us with suspicion of left atrial myxoma found incidentally by echocardiography. Physical examination was unremarkable except for a diastolic plop sound on cardiac auscultation. Transthoracic echocardiography showed a large, very mobile cystic mass (23×25 mm) attached to the mitral valve and mild mitral regurgitation with normal ventricular size and function (Figure 1 and Movie). At operation, a bluish cystic mass was seen attached to the anterior mitral valve leaflet with a broad base (Figure 2). Resection of mitral cyst and mitral valve repair was performed successfully. Histological examination showed a blood-filled cystic cavity surrounded by a fibromyxoid wall with an internal lining of endothelial cells. The postoperative course was uneventful. Although small blood-filled cysts of the heart valves are sometimes found at postmortem examination of infants, a large cyst found in an adult is very rare. Download figureDownload PowerPointFigure 1. Echocardiography in parasternal long-axis view shows a large, thin-walled cystic mass attached to the anterior mitral leaflet. Ao indicates aorta; LA, left atrium; LV, left ventricle (see Movie).Download figureDownload PowerPointFigure 2. Intraoperative finding: A bluish cystic mass was seen attached to the anterior mitral valve leaflet with a broad base.The online-only Data Supplement, which contains a movie, can be found at http://circ.ahajournals.org/cgi/content/full/112/22/e341/DC1.FootnotesCorrespondence to Satoshi Nakatani, MD, Department of Cardiology, National Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka 565-8565, Japan. E-mail [email protected] Previous Back to top Next FiguresReferencesRelatedDetailsCited By Zhang X, Zhang L, Li L, Ren T and Jiang S (2021) Totally endoscopic surgical resection for a blood cyst originated from mitral valve: a case report, Journal of Cardiothoracic Surgery, 10.1186/s13019-021-01535-6, 16:1, Online publication date: 1-Dec-2021. Beale R, Russo R, Beale C, Levin W, Atalay M, Fingleton J, Poppas A and Apostolidou E (2021) Mitral Valve Blood Cyst Diagnosed with the Use of Multimodality Imaging, CASE, 10.1016/j.case.2021.01.004, 5:3, (173-176), Online publication date: 1-Jun-2021. Bortolotti U, Vendramin I, Lechiancole A, Sponga S, Pucci A, Milano A and Livi U (2021) Blood cysts of the cardiac valves in adults: Review and analysis of published cases, Journal of Cardiac Surgery, 10.1111/jocs.15992, 36:12, (4690-4698), Online publication date: 1-Dec-2021. Ma X, Zeng X, Wu Y, Dong L, Yu Z, Li J, He J and He Y (2019) Mitral valve blood cyst occlusion of the aortic valve leading to syncope: detection by transthoracic and contrast echocardiography, Journal of International Medical Research, 10.1177/0300060519826462, 47:8, (3487-3490), Online publication date: 1-Aug-2019. Okamoto K, Kudo M, Hayashi K and Shimizu H (2015) Endoscopic-assisted minimally invasive resection of a papillary muscle blood cyst in an adult patient, Interactive CardioVascular and Thoracic Surgery, 10.1093/icvts/ivv313, 22:2, (231-232), Online publication date: 1-Feb-2016. Cianciulli T, Ventrici J, Marturano M, Saccheri M, Medus M and Redruello M (2015) Blood Cyst of the Mitral Valve, Circulation: Cardiovascular Imaging, 8:2, Online publication date: 1-Feb-2015. Yingchoncharoen T (2015) Cardiac Masses and Miscellaneous An Atlas of Mitral Valve Imaging, 10.1007/978-1-4471-6672-6_13, (269-280), . 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Val-Bernal J, Cuadrado M, Garijo M and Revuelta J (2006) Incidental in vivo detection of an isolated hemangioma of the aortic valve in a man with a history of renal transplantation, Virchows Archiv, 10.1007/s00428-006-0202-9, 449:1, (121-123), Online publication date: 1-Jul-2006. November 29, 2005Vol 112, Issue 22 Advertisement Article InformationMetrics https://doi.org/10.1161/CIRCULATIONAHA.105.546390PMID: 16316958 Originally publishedNovember 29, 2005 PDF download Advertisement SubjectsEchocardiography