Cardiac Mass With Calcification Forming Pulmonary Atresia in Utero; A Case of Fetal Endocarditis
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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.
KeywordsCalcification Cardiac tumor Endocarditis Pulmonary valve Tricuspid valve
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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