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Cardiac Amorphous Tumor on the Mitral Valve
Author(s) -
Gecmen Cetin,
Inanir Mehmet,
Gecmen Gonca G.,
Yilmaz Fatih,
Ozdemir Nihal
Publication year - 2016
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13109
Subject(s) - medicine , cardiology , ventricle , ejection fraction , mitral valve , mitral regurgitation , diastole , stenosis , heart failure , blood pressure
Mini‐Abstract A 62‐year‐old male patient with a history of hypertension, dialysis‐dependent chronic renal failure, and coronary artery bypass graft presented to our clinic with dyspnea. Transthoracic echocardiographic assessment revealed moderate aortic stenosis (mean gradient: 32 mmHg), mild left ventricular systolic dysfunction (global left ventricle ejection fraction: 45%), and a mobile, racket‐shaped hyperechogenic mass of 2.1 × 1.1 cm in posterior mitral leaflet, which partially moved into the left ventricle during diastole. Transesophageal echocardiography revealed the mobile mass on the posterior leaflet as well as mild mitral regurgitation. During surgery, the mass was excised from the P2 scallop of posterior mitral leaflet. On histologic examination, hematoxylin and eosin–stained section of the 10 × 20 mm mass showed calcified nodules on an amorphous background of fibrin material and foreign body giant cells.