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

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 inf...

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Autores principales: Choi, Kuk Bin, Kim, Hwan Wook, Kim, Do Yeon, Jo, Keon Hyon, Choi, Hang Jun, Hong, Seok Beom
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Thoracic and Cardiovascular Surgery 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4900863/
https://www.ncbi.nlm.nih.gov/pubmed/27298798
http://dx.doi.org/10.5090/kjtcs.2016.49.3.195
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author Choi, Kuk Bin
Kim, Hwan Wook
Kim, Do Yeon
Jo, Keon Hyon
Choi, Hang Jun
Hong, Seok Beom
author_facet Choi, Kuk Bin
Kim, Hwan Wook
Kim, Do Yeon
Jo, Keon Hyon
Choi, Hang Jun
Hong, Seok Beom
author_sort Choi, Kuk Bin
collection PubMed
description 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/mm(3)), 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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spelling pubmed-49008632016-06-13 Tricuspid Papillary Fibroelastoma Mimicking Tricuspid Vegetation in a Patient with Severe Neutropenia Choi, Kuk Bin Kim, Hwan Wook Kim, Do Yeon Jo, Keon Hyon Choi, Hang Jun Hong, Seok Beom Korean J Thorac Cardiovasc Surg Case Report 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/mm(3)), 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. The Korean Society for Thoracic and Cardiovascular Surgery 2016-06 2016-06-05 /pmc/articles/PMC4900863/ /pubmed/27298798 http://dx.doi.org/10.5090/kjtcs.2016.49.3.195 Text en Copyright © 2016 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Choi, Kuk Bin
Kim, Hwan Wook
Kim, Do Yeon
Jo, Keon Hyon
Choi, Hang Jun
Hong, Seok Beom
Tricuspid Papillary Fibroelastoma Mimicking Tricuspid Vegetation in a Patient with Severe Neutropenia
title Tricuspid Papillary Fibroelastoma Mimicking Tricuspid Vegetation in a Patient with Severe Neutropenia
title_full Tricuspid Papillary Fibroelastoma Mimicking Tricuspid Vegetation in a Patient with Severe Neutropenia
title_fullStr Tricuspid Papillary Fibroelastoma Mimicking Tricuspid Vegetation in a Patient with Severe Neutropenia
title_full_unstemmed Tricuspid Papillary Fibroelastoma Mimicking Tricuspid Vegetation in a Patient with Severe Neutropenia
title_short Tricuspid Papillary Fibroelastoma Mimicking Tricuspid Vegetation in a Patient with Severe Neutropenia
title_sort tricuspid papillary fibroelastoma mimicking tricuspid vegetation in a patient with severe neutropenia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4900863/
https://www.ncbi.nlm.nih.gov/pubmed/27298798
http://dx.doi.org/10.5090/kjtcs.2016.49.3.195
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