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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Society for Thoracic and Cardiovascular Surgery
2016
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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. |
format | Online Article Text |
id | pubmed-4900863 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | The Korean Society for Thoracic and Cardiovascular Surgery |
record_format | MEDLINE/PubMed |
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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