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Pediatric Cardiology

, Volume 34, Issue 8, pp 1908–1910 | Cite as

Cardiac Mass With Calcification Forming Pulmonary Atresia in Utero; A Case of Fetal Endocarditis

  • Bo Kyung Jin
  • Gi Beom KimEmail author
  • Bo Sang Kwon
  • Eun Jung Bae
  • Chung II Noh
  • Woong Han Kim
Case Report

Abstract

Fetal intracardiac mass with calcification is very rare and not well reported. The authors treated a patient with a cardiac mass presumed to be infective endocarditis in the tricuspid valve and pulmonary valve positions with postcalcification echocardiographic shadow forming pulmonary atresia. Although postnatal consecutive blood cultures for bacterial and fungal pathogens tested negative, serial follow-up echocardiograms and surgical findings suggested infective endocarditis. This report describes a very rare case of presumed fetal infective endocarditis presenting as a calcified mass, which was successfully treated by partial resection without significant morbidity.

Keywords

Calcification Cardiac tumor Endocarditis Pulmonary valve Tricuspid valve 

Supplementary material

Movie clip 1 Postnatal tricuspid valve mass shown by transthoracic echocardiogram. A hyperechoic movable mass with a postcalcification echocardiographic shadow is shown. (AVI 825 kb)

Movie clip 2 Postnatal pulmonic valve mass shown by transthoracic echocardiogram. A hyperechoic mass with a postcalcification echocardiographic shadow and right ventricular outlet tract obstruction is shown. (AVI 932 kb)

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Bo Kyung Jin
    • 1
  • Gi Beom Kim
    • 1
    Email author
  • Bo Sang Kwon
    • 1
  • Eun Jung Bae
    • 1
  • Chung II Noh
    • 1
  • Woong Han Kim
    • 2
  1. 1.Department of PediatricsSeoul National University Children’s HospitalSeoulSouth Korea
  2. 2.Department of Thoracic and Cardiovascular SurgerySeoul National University Children’s HospitalSeoulSouth Korea

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