Blood Cyst of the Mitral Valve
2015; Lippincott Williams & Wilkins; Volume: 8; Issue: 2 Linguagem: Inglês
10.1161/circimaging.114.002729
ISSN1942-0080
AutoresTomás F. Cianciulli, Javier Fabián Ventrici, María Pía Marturano, María Cristina Saccheri, María Jorgelina Medus, Marcela Redruello,
Tópico(s)Cardiac tumors and thrombi
ResumoHomeCirculation: Cardiovascular ImagingVol. 8, No. 2Blood Cyst of the Mitral Valve Free AccessResearch ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissionsDownload Articles + Supplements ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toSupplemental MaterialFree AccessResearch ArticlePDF/EPUBBlood Cyst of the Mitral ValveEchocardiographic and Magnetic Resonance Imaging Diagnosis Tomás Francisco Cianciulli, Javier Fabián Ventrici, María Pía Marturano, María Cristina Saccheri, María Jorgelina Medus and Marcela Fabiana Redruello Tomás Francisco CianciulliTomás Francisco Cianciulli From the Department of Cardiology, Hospital of the Government of the City of Buenos Aires "Dr. Cosme Argerich" (T.F.C., M.C.S.) and Cardiovascular MR Unit, TCba Cardiology Department (M.J.M., M.F.R.), Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina; and Department of Cardiology, Sanatorio Pasteur, San Fernando del Valle de Catamarca, Catamarca, Argentina (J.F.V., M.P.M.). , Javier Fabián VentriciJavier Fabián Ventrici From the Department of Cardiology, Hospital of the Government of the City of Buenos Aires "Dr. Cosme Argerich" (T.F.C., M.C.S.) and Cardiovascular MR Unit, TCba Cardiology Department (M.J.M., M.F.R.), Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina; and Department of Cardiology, Sanatorio Pasteur, San Fernando del Valle de Catamarca, Catamarca, Argentina (J.F.V., M.P.M.). , María Pía MarturanoMaría Pía Marturano From the Department of Cardiology, Hospital of the Government of the City of Buenos Aires "Dr. Cosme Argerich" (T.F.C., M.C.S.) and Cardiovascular MR Unit, TCba Cardiology Department (M.J.M., M.F.R.), Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina; and Department of Cardiology, Sanatorio Pasteur, San Fernando del Valle de Catamarca, Catamarca, Argentina (J.F.V., M.P.M.). , María Cristina SaccheriMaría Cristina Saccheri From the Department of Cardiology, Hospital of the Government of the City of Buenos Aires "Dr. Cosme Argerich" (T.F.C., M.C.S.) and Cardiovascular MR Unit, TCba Cardiology Department (M.J.M., M.F.R.), Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina; and Department of Cardiology, Sanatorio Pasteur, San Fernando del Valle de Catamarca, Catamarca, Argentina (J.F.V., M.P.M.). , María Jorgelina MedusMaría Jorgelina Medus From the Department of Cardiology, Hospital of the Government of the City of Buenos Aires "Dr. Cosme Argerich" (T.F.C., M.C.S.) and Cardiovascular MR Unit, TCba Cardiology Department (M.J.M., M.F.R.), Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina; and Department of Cardiology, Sanatorio Pasteur, San Fernando del Valle de Catamarca, Catamarca, Argentina (J.F.V., M.P.M.). and Marcela Fabiana RedruelloMarcela Fabiana Redruello From the Department of Cardiology, Hospital of the Government of the City of Buenos Aires "Dr. Cosme Argerich" (T.F.C., M.C.S.) and Cardiovascular MR Unit, TCba Cardiology Department (M.J.M., M.F.R.), Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina; and Department of Cardiology, Sanatorio Pasteur, San Fernando del Valle de Catamarca, Catamarca, Argentina (J.F.V., M.P.M.). Originally published28 Jan 2015https://doi.org/10.1161/CIRCIMAGING.114.002729Circulation: Cardiovascular Imaging. 2015;8:e002729IntroductionA 12-year-old, apparently healthy woman was referred to the echocardiography laboratory as part of evaluation of school physical control. Physical examination was unremarkable. Two-dimensional echocardiography showed a large (14×15×18 mm), nonechogenic, rounded, thin-walled cystic mass attached to the atrial surface of the anterior mitral valve leaflet (Figure [A] and [B]; Movie I in the Data Supplement). Apical 4-chamber view showed normal ventricular size and function (Movie II in the Data Supplement), without left ventricular inflow tract obstruction. Color and spectral Doppler imaging demonstrated minimal mitral valve regurgitation, without turbulence in the left ventricular outflow tract. Transesophageal echocardiography was not performed because of adequate acoustic windows of transthoracic echocardiography. Cardiac MRI clearly depicted the mass and its relationship with the anterior mitral leaflet (Figure [C]; Movie III in the Data Supplement ). On spin echo T1 images, the mass showed a homogeneous signal isointense compared with myocardium (Figure [D]) and hyperintense on T2 (Figure [E]), and does not show uptake of gadolinium at the delayed phase, suggestive of cystic nature of the mass (Figure [F]). After 2 years of follow-up, there was no change seen by echocardiography. This case report confirms the fundamental role of echocardiography for the evaluation of intracardiac masses because it supplies adequate information about size and attachment. Additional information about the nature of the lesion and its content is given by MRI. There is no consensus for the treatment of patients with blood cysts. Conservative approach in asymptomatic patients with a small cyst, as in our case, and echocardiographic follow-up are suggested, whereas surgical treatment should be considered if symptoms occur or if the cyst produces any cardiac dysfunction.1,2Download figureDownload PowerPointFigure. Two-dimensional echocardiography in parasternal long-axis view (A) and apical 4-chamber view (B) shows the blood cyst attached to anterior mitral valve. Cardiac MRI depicted the mass and its relationship with the anterior mitral leaflet (C). On spin echo shows the mass isointense on T1 compared with myocardium (D) and hyperintense on T2 (E), without uptake of gadolinium at the delayed phase (F). Ao indicates aorta; LA, left atrium; LV, left ventricle; RA, right atrium; and RV, right ventricle.DisclosuresNone.Footnotes*Dr Cianciulli is a researcher of the Ministry of Health, Government of the City of Buenos Aires.The Data Supplement is available at http://circimaging.ahajournals.org/lookup/suppl/doi:10.1161/CIRCIMAGING.114.002729/-/DC1.Correspondence to Tomás F. Cianciulli, MD, Hospital of the Government of the City of Buenos Aires "Dr. Cosme Argerich". Pi y Margall 750 (C1155AHB), Capital Federal, Buenos Aires, Argentina. E-mail [email protected]References1. Yamamoto H, Nakatani S, Niwaya K, Ohnishi T, Uematsu M, Kitakaze M. Images in cardiovascular medicine. Giant blood cyst of the mitral valve: echocardiographic and intraoperative images.Circulation. 2005; 112:e341. doi: 10.1161/CIRCULATIONAHA.105.546390.LinkGoogle Scholar2. Centella T, Moya JL, Muñoz M, Reguero EM. Images in cardiovascular medicine. Giant endocardial blood cyst in the right atrium: echocardiographic and magnetic resonance imaging features.Circulation. 2008; 117:3250–3251. doi: 10.1161/CIRCULATIONAHA.107.734814.LinkGoogle Scholar Previous Back to top Next FiguresReferencesRelatedDetailsCited By Ionac I, Mornos C, Feier H, Dema A and Ionac A (2022) Blood cyst of the mitral valve – is it common? Case report, Romanian Journal of Cardiology, 10.47803/rjc.2021.31.1.111, 31:1, (111-115), Online publication date: 1-Mar-2021., Online publication date: 1-Mar-2021. Karagözlü S, Ramoğlu M, Dikmen Yaman N, Eyileten Z and Almus E (2020) Giant intracardiac blood cyst of the mitral valve in a pediatric patient: A case report, Echocardiography, 10.1111/echo.14706, 37:6, (922-925), Online publication date: 1-Jun-2020. 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. February 2015Vol 8, Issue 2 Advertisement Article InformationMetrics © 2015 American Heart Association, Inc.https://doi.org/10.1161/CIRCIMAGING.114.002729PMID: 25632030 Manuscript receivedOctober 1, 2014Manuscript acceptedNovember 10, 2014Originally publishedJanuary 28, 2015 Keywordsechocardiographymagnetic resonance imagingblood cystmitral valvePDF download Advertisement SubjectsComputerized Tomography (CT)Echocardiography
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