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Cardiac Masses and Miscellaneous

  • Teerapat Yingchoncharoen

Abstract

A 59-year-old man presented with acute dysarthria and left hemiparesis, which lasted for 15 min and spontaneously resolved. He had no risk factors for cardiovascular diseases and had a negative family history for stroke or other premature cardiovascular diseases. Cardiac examination revealed a grade 3/6 systolic murmur at the left parasternal border.

Keywords

Mitral valve mass Blood cyst Diastolic mitral regurgitation 

Supplementary material

Video 13.1

Transthoracic echocardiography (TTE) parasternal long-axis view showed a 3.7 × 3.6-cm, highly mobile echodensity with frond-like projections in the left ventricle, attached to the posterior mitral valve leaflet and subvalvular apparatus (AVI 5351 kb)

Video 13.2

TTE apical four-chamber view showed the mass (arrows) of the mitral valve (AVI 4775 kb)

Video 13.3

TTE parasternal long-axis view showed a thin-walled, well-circumscribed mass with an echolucent core in the posteroinferior wall area (AVI 878 kb)

Video 13.4

TTE parasternal long-axis view zoomed at the mass (arrow) confirmed the same findings (AVI 841 kb)

Video 13.5

TTE short-axis view zoomed at the mass attached to the anterolateral papillary muscle (AVI 858 kb)

Video 13.6

TTE apical four-chamber view confirmed the thin-walled, well-circumscribed mass with an echolucent core attached to the anterolateral papillary muscle, findings consistent with a blood cyst (AVI 853 kb)

Video 13.7

A TTE apical four-chamber view with color Doppler flow imaging showed typical systolic mitral regurgitation but also a short regurgitation jet from the left ventricle to the left atrium during diastole, consistent with diastolic mitral regurgitation (AVI 114027 kb)

Video 13.8

A TTE apical four-chamber view with color Doppler flow imaging showed typical systolic tricuspid regurgitation but also a short regurgitation jet from the right ventricle to the right atrium during diastole, consistent with diastolic tricuspid regurgitation (AVI 112410 kb)

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Copyright information

© Springer-Verlag London 2015

Authors and Affiliations

  1. 1.Department of Cardiovascular MedicineCleveland ClinicClevelandUSA

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