Blood cyst of the mitral valve – is it common? Case report

Ioana Ionac; Cristian Mornos; Horea Feier; Alice Dema; Adina Ionac

doi:10.47803/rjc.2021.31.1.111

Blood cyst of the mitral valve – is it common? Case report

Romanian Journal of Cardiology ◽

10.47803/rjc.2021.31.1.111 ◽

2021 ◽

Vol 31 (1) ◽

pp. 111-115

Author(s):

Ioana Ionac ◽

Cristian Mornos ◽

Horea Feier ◽

Alice Dema ◽

Adina Ionac

Keyword(s):

Mitral Valve ◽

Congenital Malformations ◽

Heart Valves ◽

Cystic Mass ◽

Uneventful Recovery ◽

Benign Tumors ◽

Heart Team ◽

Optimal Management ◽

Mitral Valvuloplasty ◽

Cardiac Blood

Cardiac blood cysts are benign tumors, usually congenital malformations, found on the endocardium, particularly along the closing lines of the heart valves. Blood cysts of the heart are commonly reported at postmortem findings in infants and they are very rare in adults. We report a case of a 39 year old patient, who was incidentally discovered during echocardiography having a blood cyst attached to the ventricular face of the anterior mitral valve and to the mitral chordae. During surgery, the cystic mass was resected. Mitral valvuloplasty was successfully performed and the patient had an uneventful recovery. Blood cysts are rarely reported, thus there is no consensus or guidelines for the optimal management of the asymptomatic cases. Although our patient was asymptomatic and the cyst did not interfere with the cardiac function, together with the heart team, we chose the surgical resection of the cardiac mass in order to prevent possible complications.

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Case report: Buddy wire technique to facilitate atrial septal crossing during transcatheter transseptal mitral valve implantation

European Heart Journal - Case Reports ◽

10.1093/ehjcr/ytaa373 ◽

2020 ◽

Author(s):

Ashvarya Mangla ◽

Ameer Musa ◽

Clifford J Kavinsky ◽

Hussam S Suradi

Keyword(s):

Heart Failure ◽

Mitral Valve ◽

Heart Valve ◽

Interatrial Septum ◽

Chronic Obstructive ◽

Mitral Valve Stenosis ◽

Heart Team ◽

Transcatheter Heart Valve ◽

Valve Implantation ◽

Buddy Wire

Abstract Background Transcatheter mitral valve-in-valve implantation (MVIV) has emerged as a viable treatment option in patients at high risk for surgery. Occasionally, despite appropriate puncture location and adequate dilation, difficulty is encountered in advancing the transcatheter heart valve across interatrial septum. Case summary We describe a case of a 79-year-old woman with severe chronic obstructive pulmonary disease (COPD), prior surgical bioprosthetic aortic and mitral valve replacement implanted in 2007, atrial fibrillation, and Group II pulmonary hypertension who presented with progressively worsening heart failure symptoms secondary to severe bioprosthetic mitral valve stenosis and moderate-severe mitral regurgitation. Her symptoms had worsened over several months, with multiple admissions at other institutions with treatment for both COPD exacerbation and heart failure. Transoesophageal echocardiogram demonstrated preserved ejection fraction, normal functioning aortic valve, and dysfunctional mitral prosthesis with severe stenosis (mean gradient 13 mmHg) and moderate-severe regurgitation. After a multi-disciplinary heart team discussion, the patient underwent a transcatheter MVIV implantation. During the case, inability in advancing the transcatheter heart valve (THV) across interatrial septum despite adequate septal balloon pre-dilation was successfully managed with the support of a stiff ‘buddy wire’ anchored in the left upper pulmonary vein using the same septal puncture. The patient tolerated the procedure well and was discharged home. Discussion Operators should be aware of potential strategies to advance the THV when difficulty is encountered in crossing the atrial septum despite adequate septal preparation. One such strategy is the use of stiff ‘buddy wire’ for support which avoids the need for more aggressive septal dilatation.

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TCT CONNECT-347 Overexpansion of Balloon-Expandable Aortic Transcatheter Heart Valves in the Mitral Valve Position

Journal of the American College of Cardiology ◽

10.1016/j.jacc.2020.09.368 ◽

2020 ◽

Vol 76 (17) ◽

pp. B149-B150

Author(s):

Mohammed Al-Hijji ◽

Mackram Eleid ◽

Dee Dee Wang ◽

Susheel Kodali ◽

Tatiana Kaptzan ◽

...

Keyword(s):

Mitral Valve ◽

Heart Valves ◽

Valve Position

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Transcatheter mitral valve repair: an overview of current and future devices

Open Heart ◽

10.1136/openhrt-2020-001564 ◽

2021 ◽

Vol 8 (1) ◽

pp. e001564

Author(s):

Ole De Backer ◽

Ivan Wong ◽

Maurizio Taramasso ◽

Francesco Maisano ◽

Olaf Franzen ◽

...

Keyword(s):

Clinical Trials ◽

Mitral Valve ◽

Mitral Valve Repair ◽

Mitral Annulus ◽

Therapeutic Strategies ◽

Heart Team ◽

Valve Repair ◽

Careful Patient ◽

Transcatheter Mitral Valve Repair ◽

Tailored Approach

The field of transcatheter mitral valve repair (TMVr) for mitral regurgitation (MR) is rapidly evolving. Besides the well-established transcatheter mitral edge-to-edge repair approach, there is also growing evidence for therapeutic strategies targeting the mitral annulus and mitral valve chordae. A patient-tailored approach, careful patient selection and an experienced interventional team is crucial in order to optimise procedural and clinical outcomes. With further data from ongoing clinical trials to be expected, consensus in the Heart Team is needed to address these complexities and determine the most appropriate TMVr therapy, either single or combined, for patients with severe MR.

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Percutaneous balloon mitral valvuloplasty in comparison with open mitral valve commissurotomy for mitral stenosis during pregnancy

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(00)01184-0 ◽

2001 ◽

Vol 37 (3) ◽

pp. 900-903 ◽

Cited By ~ 87

Author(s):

José A.M de Souza ◽

Eulogio E Martinez ◽

John A Ambrose ◽

Claudia M.R Alves ◽

Daniel Born ◽

...

Keyword(s):

Mitral Valve ◽

Mitral Stenosis ◽

Mitral Valvuloplasty ◽

Percutaneous Balloon Mitral Valvuloplasty ◽

Percutaneous Balloon

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Acute reduction of mitral valve area after percutaneous balloon mitral valvuloplasty: Assessment with Doppler continuity equation method

American Heart Journal ◽

10.1016/0002-8703(91)90187-m ◽

1991 ◽

Vol 121 (3) ◽

pp. 770-775 ◽

Cited By ~ 14

Author(s):

Satoshi Nakatani ◽

Seiki Nagata ◽

Shintaro Beppu ◽

Fuminobu Ishikura ◽

Jun Tamai ◽

...

Keyword(s):

Mitral Valve ◽

Continuity Equation ◽

Equation Method ◽

Mitral Valvuloplasty ◽

Mitral Valve Area ◽

Percutaneous Balloon Mitral Valvuloplasty ◽

Percutaneous Balloon ◽

Valve Area

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A simple technique to cross mitral valve during percutaneous balloon mitral valvuloplasty

Catheterization and Cardiovascular Diagnosis ◽

10.1002/ccd.1810310221 ◽

1994 ◽

Vol 31 (2) ◽

pp. 161-162 ◽

Cited By ~ 1

Author(s):

Prafulla Kerkar ◽

Yash Lokhandwala ◽

Amit Vora ◽

Bharat Dalvi ◽

Jagmeet Singh ◽

...

Keyword(s):

Mitral Valve ◽

Simple Technique ◽

Mitral Valvuloplasty ◽

Percutaneous Balloon Mitral Valvuloplasty ◽

Percutaneous Balloon

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Comparison of Heart Valve Circumference Examined Before and After 10% Formalin Fixation

Siriraj Medical Journal ◽

10.33192/smj.2021.62 ◽

2021 ◽

Vol 73 (7) ◽

pp. 478-484

Author(s):

Watcharit Anantakal ◽

◽

Somboon Thamtakerngkit ◽

Vijarn Vachirawongsakorn ◽

◽

...

Keyword(s):

Mitral Valve ◽

Aortic Valve ◽

Heart Valve ◽

Tricuspid Valve ◽

Heart Valves ◽

Formalin Fixation ◽

Pulmonic Valve ◽

Fresh State ◽

Before And After ◽

Formalin Fixed

Objective: To compare the heart valve circumference before and after 10% formalin fixation. Materials and Methods: The study analyzed 63 Thai human cadaveric hearts. Each heart valve circumference was separately measured in the fresh state by specifically designed equipment. After that, the hearts were fixed in 10% formalin for 3 days. Then each heart valve circumference was measured by the same equipment and by the thread and ruler technique. The results were analyzed using SPSS package to find the association between the heart valve circumference before and after formalin fixation. Results: This study showed that the average circumferences of the heart valve measured in the fresh state were 13.329 cm in the tricuspid valve, 10.617 cm in the mitral valve, 8.416 cm in the pulmonic valve, and 7.122 cm in the aortic valve. The average circumferences of the heart valve measured after 10% formalin fixation were 11.019 cm in the tricuspid valve, 8.714 cm in the mitral valve, 6.751 cm in the pulmonic valve, and 6.089 cm in the aortic valve. The average ratios of the heart valve circumference measured fresh and after 10% formalin fixation were 0.8267 in the tricuspid valve, 0.8235 in the mitral valve, 0.8050 in the pulmonic valve, and 0.8573 in the aortic valve. There were significant differences in the heart valve circumference between the fresh state and after formalin fixation (p < 0.001). Conclusion: This study revealed important information on the dimensional changes of all the formalin-fixed heart valves. We found that the heart valve shrank after formalin fixation, with the formalin-fixed hearts an estimated 0.8 times smaller than the fresh cadaveric hearts.

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Infradiaphragmatic extralobar pulmonary sequestration asossiated with duplication cyst of the gaster in newborn

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care ◽

10.17816/psaic601 ◽

2020 ◽

Vol 10 (1) ◽

pp. 95-102

Author(s):

Nikolai V. Krivosheenko ◽

Alexey V. Gramzin ◽

Pavel M. Pavlushin ◽

Yana L. Manakova ◽

Larisa M. Shpak ◽

...

Keyword(s):

Surgical Treatment ◽

Congenital Malformations ◽

Pulmonary Sequestration ◽

Duplication Cyst ◽

Cystic Mass ◽

Minimal Invasive ◽

Retroperitoneal Mass ◽

Extralobar Pulmonary Sequestration ◽

Neoplastic Process ◽

Ultrasound Investigation

Introduction. The biggest difficulties of pulmonary sequestration treatment appear when they are combined with other congenital malformations. Materials and methods. This article describes a rare case of combination of infradiaphragmatic extralobar sequestration of the lung and duplication cyst of the gaster. The antenatal ultrasound investigation at 21 week of gestation visualized a retroperitoneal mass that had a cystic-solid structure and a vessel that departed directly from the aorta. CT-scan that was performed after the birth, confirmed an existence of infradiaphragmatic cystic mass that had a vessel that departed directly from the aorta. We couldnt exclude the neoplastic process because of structure and topography of mass. Tumor markers were without pathology. Surgical treatment was performed: laparotomy and removal of the cyst and extrapulmonary sequestration. The histological investigation confirmed a pulmonary sequestrum and duplication cyst of the gaster. Conclusion. A nowadays method of visualization allows to find congenital malformation in earliest stages of gestation. The tradition surgical treatment and also minimal invasive surgical treatment are the main option of cure such congenital malformations. Also literature review of rare clinical forms of pulmonary sequestration presented in this article.

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