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Case report: A primary calcified cardiac mass in right atrium partially obstructs the tricuspid valve in a patient on hemodialysis

Primary cardiac calcification is a rare benign mass in patients with end-stage renal disease. A few cases have been reported in the literatures. In this case study, during a routine checkup for hemodialysis, a transthoracic echocardiography on a 19-year-old male showed a cardiac mass in the right at...

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Autores principales: Liu, Hongduan, Tu, Xiaokang, Zhang, Hao, Fan, Chengming, Tan, Haoyu, Song, Long, Wu, Qin, Liu, Liming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9424608/
https://www.ncbi.nlm.nih.gov/pubmed/36051282
http://dx.doi.org/10.3389/fcvm.2022.950628
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author Liu, Hongduan
Tu, Xiaokang
Zhang, Hao
Fan, Chengming
Tan, Haoyu
Song, Long
Wu, Qin
Liu, Liming
author_facet Liu, Hongduan
Tu, Xiaokang
Zhang, Hao
Fan, Chengming
Tan, Haoyu
Song, Long
Wu, Qin
Liu, Liming
author_sort Liu, Hongduan
collection PubMed
description Primary cardiac calcification is a rare benign mass in patients with end-stage renal disease. A few cases have been reported in the literatures. In this case study, during a routine checkup for hemodialysis, a transthoracic echocardiography on a 19-year-old male showed a cardiac mass in the right atrium that was partially obstructing the tricuspid valve. Cardiac magnetic resonance imaging showed a well-circumscribed, homogeneous “shadow” in the right atrium; it measured 29 × 27 mm, had equal T1- and T2-weighted signal intensities, and was adjacent to the tricuspid valve. According to 18F-fluorodeoxyglucose positron emission tomography combined with computed tomography, there was a dense circular shadow in the right atrium abutting the tricuspid valve, but there was no increase in glucose metabolism. Median sternotomy was performed for the surgical resection of the mass, and a cardiopulmonary bypass was completed. The mass was completely removed. The patient recovered well and was discharged 10 days after the surgery. Histological examination showed that the mass contained multiple calcified nodules. No mass recurrence was found by echocardiography during the 12th-month follow-up.
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spelling pubmed-94246082022-08-31 Case report: A primary calcified cardiac mass in right atrium partially obstructs the tricuspid valve in a patient on hemodialysis Liu, Hongduan Tu, Xiaokang Zhang, Hao Fan, Chengming Tan, Haoyu Song, Long Wu, Qin Liu, Liming Front Cardiovasc Med Cardiovascular Medicine Primary cardiac calcification is a rare benign mass in patients with end-stage renal disease. A few cases have been reported in the literatures. In this case study, during a routine checkup for hemodialysis, a transthoracic echocardiography on a 19-year-old male showed a cardiac mass in the right atrium that was partially obstructing the tricuspid valve. Cardiac magnetic resonance imaging showed a well-circumscribed, homogeneous “shadow” in the right atrium; it measured 29 × 27 mm, had equal T1- and T2-weighted signal intensities, and was adjacent to the tricuspid valve. According to 18F-fluorodeoxyglucose positron emission tomography combined with computed tomography, there was a dense circular shadow in the right atrium abutting the tricuspid valve, but there was no increase in glucose metabolism. Median sternotomy was performed for the surgical resection of the mass, and a cardiopulmonary bypass was completed. The mass was completely removed. The patient recovered well and was discharged 10 days after the surgery. Histological examination showed that the mass contained multiple calcified nodules. No mass recurrence was found by echocardiography during the 12th-month follow-up. Frontiers Media S.A. 2022-08-16 /pmc/articles/PMC9424608/ /pubmed/36051282 http://dx.doi.org/10.3389/fcvm.2022.950628 Text en Copyright © 2022 Liu, Tu, Zhang, Fan, Tan, Song, Wu and Liu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Liu, Hongduan
Tu, Xiaokang
Zhang, Hao
Fan, Chengming
Tan, Haoyu
Song, Long
Wu, Qin
Liu, Liming
Case report: A primary calcified cardiac mass in right atrium partially obstructs the tricuspid valve in a patient on hemodialysis
title Case report: A primary calcified cardiac mass in right atrium partially obstructs the tricuspid valve in a patient on hemodialysis
title_full Case report: A primary calcified cardiac mass in right atrium partially obstructs the tricuspid valve in a patient on hemodialysis
title_fullStr Case report: A primary calcified cardiac mass in right atrium partially obstructs the tricuspid valve in a patient on hemodialysis
title_full_unstemmed Case report: A primary calcified cardiac mass in right atrium partially obstructs the tricuspid valve in a patient on hemodialysis
title_short Case report: A primary calcified cardiac mass in right atrium partially obstructs the tricuspid valve in a patient on hemodialysis
title_sort case report: a primary calcified cardiac mass in right atrium partially obstructs the tricuspid valve in a patient on hemodialysis
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9424608/
https://www.ncbi.nlm.nih.gov/pubmed/36051282
http://dx.doi.org/10.3389/fcvm.2022.950628
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