https://doi.org/10.4081/monaldi.2023.2649
A native mitral valve mass beyond imagination
Submitted: May 31, 2023
Accepted: June 19, 2023
Published: August 7, 2023
Accepted: June 19, 2023
Abstract Views: 642
PDF: 96
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
The authors report a case of a patient with a history of immunoglobulin A nephropathy who, during the admission for pneumonia, had an incidental finding of a huge mitral valve (MV) mass on transthoracic echocardiography. The differential diagnosis was challenging because the clinical scenario raised the suspicion of possible infective endocarditis, and the imaging features were suggestive of a myxoma or vegetation. The patient underwent urgent excision of the mass with MV replacement due to the high risk of embolism. Intraoperative findings were consistent with clots or vegetation. The pathology result of the thrombus was beyond our imagination, and to the best of our knowledge, only one case has been reported. Awareness about native MV thrombosis and its etiologic factors, work-up, and management is key for better medical and surgical management planning because this condition is extremely rare and challenging in the clinical and imaging arenas.
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How to Cite
Alamri, Faisal, Abdalla Eltayeb, Alaa Hamad, Soaad Alamri, Sultan Alamri, Wassima Kaidali, Loay Tashkandi, Lana Arbili, Valeria Pergola, and Hani Al Sergani. 2023. “A Native Mitral Valve Mass Beyond Imagination”. Monaldi Archives for Chest Disease 94 (2). https://doi.org/10.4081/monaldi.2023.2649.
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