Mitral valve leaflet blood cyst treated with minimally invasive approach: a case report and review of literature
Abstract Introduction Cardiac blood cyst is a very rare benign tumor of the heart in adults. Though it is very common in the first half year of life, it regresses with time and its occurrence is very rare in children older than six months and in adults. Until now less than 100 valvular blood cyst ca...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-01-01
|
| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-024-02493-5 |
| _version_ | 1797276341520826368 |
|---|---|
| author | Matiullah Masroor Ting Xie Dayan Yang Shengxiong Lin Nianguo Dong Fujin Liu Long Wu |
| author_facet | Matiullah Masroor Ting Xie Dayan Yang Shengxiong Lin Nianguo Dong Fujin Liu Long Wu |
| author_sort | Matiullah Masroor |
| collection | DOAJ |
| description | Abstract Introduction Cardiac blood cyst is a very rare benign tumor of the heart in adults. Though it is very common in the first half year of life, it regresses with time and its occurrence is very rare in children older than six months and in adults. Until now less than 100 valvular blood cyst cases have been reported in adults. Case presentation We present a case of a 66-year-old male who presented to us with exertional chest tightness, shortness of breath, and right leg weakness for two weeks. He was diagnosed with a cardiac mass two months ago in another hospital. The physical examination was unremarkable. Abdominal ultrasound showed a cyst in the liver and left kidney. Echocardiography showed a mass-occupying lesion of a cystic nature in the mitral valve with moderate mitral regurgitation. Based on echocardiography findings and computed tomography report, the preliminary diagnosis of mitral valve cystic tumor was made. The patient underwent minimally invasive resection of the cyst. The posterior mitral cusp was repaired and a mitral annuloplasty ring was placed. The postoperative recovery was uneventful. The histopathology report confirmed the diagnosis of a cardiac blood cyst. The patient was followed up for six months without any complications. This case is presented to enrich the medical literature on the cardiac blood cyst. Conclusion Although a cardiac blood cyst is a rare entity in adults, it still should be considered in the differential diagnosis of cardiac tumors. Because the natural history and hemodynamic effects are very diverse, large symptomatic cardiac blood cysts, especially in the left heart should be resected to avoid complications. |
| first_indexed | 2024-03-07T15:25:50Z |
| format | Article |
| id | doaj.art-84ba928093d2420085680002c44a6777 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-03-07T15:25:50Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-84ba928093d2420085680002c44a67772024-03-05T16:42:51ZengBMCJournal of Cardiothoracic Surgery1749-80902024-01-011911510.1186/s13019-024-02493-5Mitral valve leaflet blood cyst treated with minimally invasive approach: a case report and review of literatureMatiullah Masroor0Ting Xie1Dayan Yang2Shengxiong Lin3Nianguo Dong4Fujin Liu5Long Wu6Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Ultrasound Medicine, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical UniversityDepartment of Cardiac Surgery, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical UniversityDepartment of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Pathology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical UniversityDepartment of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Introduction Cardiac blood cyst is a very rare benign tumor of the heart in adults. Though it is very common in the first half year of life, it regresses with time and its occurrence is very rare in children older than six months and in adults. Until now less than 100 valvular blood cyst cases have been reported in adults. Case presentation We present a case of a 66-year-old male who presented to us with exertional chest tightness, shortness of breath, and right leg weakness for two weeks. He was diagnosed with a cardiac mass two months ago in another hospital. The physical examination was unremarkable. Abdominal ultrasound showed a cyst in the liver and left kidney. Echocardiography showed a mass-occupying lesion of a cystic nature in the mitral valve with moderate mitral regurgitation. Based on echocardiography findings and computed tomography report, the preliminary diagnosis of mitral valve cystic tumor was made. The patient underwent minimally invasive resection of the cyst. The posterior mitral cusp was repaired and a mitral annuloplasty ring was placed. The postoperative recovery was uneventful. The histopathology report confirmed the diagnosis of a cardiac blood cyst. The patient was followed up for six months without any complications. This case is presented to enrich the medical literature on the cardiac blood cyst. Conclusion Although a cardiac blood cyst is a rare entity in adults, it still should be considered in the differential diagnosis of cardiac tumors. Because the natural history and hemodynamic effects are very diverse, large symptomatic cardiac blood cysts, especially in the left heart should be resected to avoid complications.https://doi.org/10.1186/s13019-024-02493-5Benign heart tumorsCardiac blood cystMitral valveMinimally invasive surgery |
| spellingShingle | Matiullah Masroor Ting Xie Dayan Yang Shengxiong Lin Nianguo Dong Fujin Liu Long Wu Mitral valve leaflet blood cyst treated with minimally invasive approach: a case report and review of literature Journal of Cardiothoracic Surgery Benign heart tumors Cardiac blood cyst Mitral valve Minimally invasive surgery |
| title | Mitral valve leaflet blood cyst treated with minimally invasive approach: a case report and review of literature |
| title_full | Mitral valve leaflet blood cyst treated with minimally invasive approach: a case report and review of literature |
| title_fullStr | Mitral valve leaflet blood cyst treated with minimally invasive approach: a case report and review of literature |
| title_full_unstemmed | Mitral valve leaflet blood cyst treated with minimally invasive approach: a case report and review of literature |
| title_short | Mitral valve leaflet blood cyst treated with minimally invasive approach: a case report and review of literature |
| title_sort | mitral valve leaflet blood cyst treated with minimally invasive approach a case report and review of literature |
| topic | Benign heart tumors Cardiac blood cyst Mitral valve Minimally invasive surgery |
| url | https://doi.org/10.1186/s13019-024-02493-5 |
| work_keys_str_mv | AT matiullahmasroor mitralvalveleafletbloodcysttreatedwithminimallyinvasiveapproachacasereportandreviewofliterature AT tingxie mitralvalveleafletbloodcysttreatedwithminimallyinvasiveapproachacasereportandreviewofliterature AT dayanyang mitralvalveleafletbloodcysttreatedwithminimallyinvasiveapproachacasereportandreviewofliterature AT shengxionglin mitralvalveleafletbloodcysttreatedwithminimallyinvasiveapproachacasereportandreviewofliterature AT nianguodong mitralvalveleafletbloodcysttreatedwithminimallyinvasiveapproachacasereportandreviewofliterature AT fujinliu mitralvalveleafletbloodcysttreatedwithminimallyinvasiveapproachacasereportandreviewofliterature AT longwu mitralvalveleafletbloodcysttreatedwithminimallyinvasiveapproachacasereportandreviewofliterature |