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.
Howell SJ, Datta Mitra A, Amsterdam EA. What’s in a mass? Large native mitral valve mass. Am J Med 2017;130:e171-5.
Karnib M, Helmy I, Annam A, et al. Thrombosis of native rheumatic mitral valve: a case report. Echocardiography 2022;39:390-7.
Güllülü S, Kaderli AA, Ozdemir B. Mitral valve thrombosis and infective endocarditis in a patient with prothrombin mutation. Acta Cardiol 2006;61:673-5.
Elmistekawy E, Chan V, Lambert AS, Mesana T. An unusual case of native mitral valve thrombosis and obstruction. Eur J Cardiothorac Surg 2015;48:971.
Zakhama L, Slama I, Boussabah E, et al. Recurrent native and prosthetic mitral valve thrombosis in idiopathic hypereosinophilic syndrome. J Heart Valve Dis 2014;23:168-70.
Endara SA, Dávalos GA, Fierro CH, et al. Antiphospholipid syndrome and valvular heart disease, a complex scenario of thrombotic events, a case report. J Cardiothorac Surg 2020;15:275.
Vahanian A, Beyersdorf F, Praz F, et al. 2021 ESC/EACTS Guidelines for the management of valvular heart disease: Developed by the Task Force for the management of valvular heart disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Rev Esp Cardiol (Engl Ed) 2022;75:523.
Renzulli A, De Luca L, Caruso A, et al. Acute thrombosis of prosthetic valves: a multivariate analysis of the risk factors for a lifethreatening event. Eur J Cardiothorac Surg 1992;6:412-21.
Vriz O, Rossi Zadra A, Eltayeb A, et al. Loss of engagement in controlling chronic anticoagulation therapy during Covid-19 stringency measures. A single center experience of disproportioned increase of stuck mechanical valves. Monaldi Arch Chest Dis 2021;92:2065.
Mankad R, Herrmann J. Cardiac tumors: echo assessment. Echo Res Pract 2016;3:R65-77.
Parato VM, Nocco S, Alunni G, et al. Imaging of cardiac masses: an updated overview. J Cardiovasc Echogr 2022;32:65-75.
Galzerano D, Pragliola C, Al Admawi M, et al. The role of 3D echocardiographic imaging in the differential diagnosis of an atypical left atrial myxoma. Monaldi Arch Chest Dis 2018;88:906.
Galzerano D, Pergola V, Kinsara AJ, et al. Right-sided infective endocarditis and pulmonary embolism: a multicenter study. Monaldi Arch Chest Dis 2022;92:2251.
Galzerano D, Kinsara AJ, Di Michele S, et al. Three dimensional echocardiography: a missing link in infective endocarditis imaging. Int J Cardiovasc Imaging 2020;36:403-13.
Gatti M, D’Angelo T, Muscogiuri G, et al. Cardiovascular magnetic resonance of cardiac tumors and masses. World J Cardiol 2021;13:628-49.
Nunns GR, Moore EE, Chapman MP, et al. The hypercoagulability paradox of chronic kidney disease: the role of fibrinogen. Am J Surg 2017;214:1215-8.
Lutz J, Menke J, Sollinger D, et al. Haemostasis in chronic kidney disease. Nephrol Dial Transplant 2014;29:29-40.
Selimi A, Ianni U, Molisana M, Parato VM. A giant and double-walled left atrial ball thrombus complicating a mitral stenosis: case report - a truck tire into the heart. Eur Hear J Case Rep 2022;6:ytac443.
Alajaji W, Hornick JM, Malek E, Klein AL. The characteristics and outcomes of native aortic valve thrombosis: a systematic review. J Am Coll Cardiol 2021;78:811-24.
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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