Blood cyst of the mitral valve

Grimaldi, Antonio; Capritti, Elvia; Pappalardo, Federico; Radinovic, Andrea; Ferrarello, Santo; Cammalleri, Valeria; Collu, Egidio; Ammirati, Enrico; Fumero, Andrea; Benussi, Stefano; Bonis, Michele De; Zangrillo, Alberto; Alfieri, Ottavio

doi:10.2459/jcm.0b013e32834d21b4

Cited by 6 publications

(4 citation statements)

References 3 publications

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“…Our literature search has documented a total of 50 articles considered eligible for analysis and reporting a total of 54 patients; 36 (72%) are reports of a single case, 3–38 12 (24%) images in cardiovascular disease, 39–50 1 case series reporting 5 patients (2%), 51 and 1 letter to the editor (2%), 52 all published from 1960 to 2021 (Tables 1 and 2).…”

Section: Resultsmentioning

confidence: 99%

“…Symptoms related to the presence of MV BCs, in the absence of any other intracardiac abnormality, included predominantly palpitations, chest discomfort, and exertional dyspnea. In three patients, BCs caused severe left ventricular outflow tract (LVOT) obstruction, 5,11,50 two patients presented with hemiparesis, 4,43 two with syncopal episodes, 32,50 two had a stroke, 15,18 two a myocardial infarction, 9,21 and in one the BC caused severe MV regurgitation. 23 Except for the first two BCs cases described, diagnosed either by cineangiography 3 or M-mode echocardiogram, 5 in all other cases transthoracic 2D echo was used for evidencing the presence of an MV mass (Figure 1).…”

Section: Patient Characteristicsmentioning

confidence: 99%

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Blood cysts of the cardiac valves in adults: Review and analysis of published cases

Bortolotti

Vendramin

Lechiancole

et al. 2021

Journal of Cardiac Surgery

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Background and aim: Blood cysts of cardiac valves are generally seen in newborns and infants and very rarely in adults. Although in most cases they are incidental findings they may be associated to severe cardiac or systemic complications. This study analyzes incidence, presentation, and treatment of valvular blood cysts in adults.Methods: A review of the pertinent literature through a search mainly on PubMed and Medline was performed.Results: In patients ≥18 years of age, our search disclosed 54 patients with mitral blood cysts (mean age, 48 ± 18 years), 9 with a tricuspid valve cyst (mean age, 67 ± 15 years), 3 with a blood cyst on the pulmonary valve (age 31, 43, and 44 years),

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Section: Resultsmentioning

confidence: 99%

Section: Patient Characteristicsmentioning

confidence: 99%

Blood cysts of the cardiac valves in adults: Review and analysis of published cases

Bortolotti

Vendramin

Lechiancole

et al. 2021

Journal of Cardiac Surgery

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“…Researchers did not build any consensus on clinical management. Scattered studies have suggested conservative management for asymptomatic cases [ 7 ]. Since the hemodynamic implication of intracardiac blood cysts may cause dyspnea, chest pain, syncope, stroke, or even coronary artery embolism, surgical resection is warranted for symptomatic cases.…”

Section: Discussionmentioning

confidence: 99%

Totally endoscopic surgical resection for a blood cyst originated from mitral valve: a case report

Zhang

et al. 2021

J Cardiothorac Surg

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Background Intracardiac blood cysts are very rare primary cardiac tumors. Blood cysts originated from the mitral valve represent a minority of cases, and previous cases have been mainly treated with conventional surgery through median sternotomy. When the tumor involves heart valves and histopathological diagnosis remains unknown preoperatively, minimally invasive surgical resection of an intracardiac tumor can be challenging, especially through an endoscopic approach. We herein present the first case of successful surgical resection for a rare mitral valve originated blood cyst in a minimally invasive, totally thoracoscopic approach. Case presentation An apparently healthy 38-year-old male presented to his local hospital with six months history of palpitation and exertional dyspnea. Transthoracic echocardiography showed a mobile round cystic mass inside the left ventricle, attached to the anterolateral papillary muscle and chordae tendineae of the mitral valve. The local doctor diagnosed an intracardiac tumor and suggested a surgical resection through median sternotomy. However, the patient refused to have a sternotomy. He was then referred to us seeking minimally invasive surgery. We assessed the location, appearance and relationship to nearby structures of the tumor with echocardiography, and made a diagnosis of a suspected primary cystic intracardiac tumor. Since we had enough experience of totally endoscopic mitral surgery, our surgical plan was to resect the tumor in the aid of thoracoscopy, and manage the possible deformation and dysfunction of the cardiac structure if necessary. Using femoro-femoral cannulation and cardiopulmonary bypass, we successfully resected the tumor through a thoracoscopic approach in a closed chest, and well preserved the subvalvular structure and valvular function. Postoperative recovery was quick and uneventful. Pathologic diagnosis confirmed a simple blood cyst. Conclusions Surgical resection is warranted for symptomatic cases of intracardiac blood cysts. With prudent preoperative diagnosis and comprehensive surgical plan, we believe the thoracoscopic approach is a safe, curative and viable alternative for complete resection of cardiac valvular tumors.

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“…Our Literature search has documented a total of 50 articles considered eligible for analysis and reporting a total of 54 patients; 36 (72%) are reports of a single case , 12 (24%) images in cardiovascular disease [39][40][41][42][43][44][45][46][47][48][49][50] , 1 a case series reporting 5 patients (2%) 51 and 1 a letter to the Editor (2%) 52 , all published from 1960 to 2021 (Table 1 and 2…”

Section: Blood Cysts Of the Mitral Valvementioning

confidence: 99%

BLOOD CYSTS OF THE CARDIAC VALVES IN ADULTS Review and analysis of published cases

Bortolotti¹,

Vendramin

Lechiancole

et al. 2021

Preprint

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Background and aim of the study: Blood cysts of cardiac valves are generally seen in newborns and infants and very rarely in adults. Although in most cases they are incidental findings they may be associated to severe cardiac or systemic complications. This study analyzes incidence, presentation and treatment of valvular blood cysts in adults. Methods: A review of the pertinent literature through a search mainly on PubMed and Medline was performed. Results: In patients ≥ 18 years of age, our search disclosed 54 patients with mitral blood cysts (mean age, 48±18 years), 9 with a tricuspid valve cyst (mean age, 67±15 years), 3 with a blood cyst on the pulmonary valve (age 31, 43 and 44 years) and 1 aortic valve cyst in a 22-year-old man. Most patients were asymptomatic while stroke, syncope or myocardial infarction occurred in 6 patients with a mitral valve cyst. Blood cysts were removed surgically in 70% of patients with a mitral cyst, in 55% with a tricuspid cyst and in all those with a pulmonary or aortic cyst. At histology the cyst wall was composed mainly by fibrous tissue and with the inner surface lined with typical endothelium. Conclusions: Blood cysts of cardiac valves are rare in adults but may cause life-threatening complications particularly when located on the mitral valve. For such reason surgical removal appears advisable, with low-risk procedures. Widespread use of multimodality imaging techniques will most likely increase the number of valvular blood cysts diagnosed also in adults.

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Blood cyst of the mitral valve

Cited by 6 publications

References 3 publications

Blood cysts of the cardiac valves in adults: Review and analysis of published cases

Blood cysts of the cardiac valves in adults: Review and analysis of published cases

Totally endoscopic surgical resection for a blood cyst originated from mitral valve: a case report

BLOOD CYSTS OF THE CARDIAC VALVES IN ADULTS Review and analysis of published cases

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