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European Journal of Echocardiography Advance Access published online on October 4, 2009
European Journal of Echocardiography, doi:10.1093/ejechocard/jep150
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Unusual localization of a malignant fibrous histiocytoma on the mitral valve

Antonella Fontana1, Jennifer Francesca Sciuchetti2, Lucia Boffi1, Luisa Colagrande2 and Giuseppe Trocino1,*

1 Cardiology Department, San Gerardo Hospital, Via Pergolesi 33, 20052 Monza, MI, Italy
2 Cardiac Surgery Clinic, Department of Cardio-Thoracic Surgery, University of Milan-Bicocca, San Gerardo Hospital, Monza, Italy

Received 3 June 2009; accepted after revision 8 September 2009.

* Corresponding author. Tel: +39 039 2333031; fax: +39 039 2332599. E-mail address: g.trocino{at}hsgerardo.org


  Abstract

The present report describes the case of a 55-year-old woman who suffered from cardio-embolic stroke originating from malignant fibrous histiocytoma (MFH) localized on the mitral valve. The patient underwent transthoracic two-/three-dimensional and transoesophageal echocardiography which demonstrated the mass protruding in the outflow tract of the left ventricle. Differential diagnosis had to be made with other masses in the left ventricle, such as thrombi, vegetations, and cardiac tumours. Surgery was performed to remove the tumour and the surgery findings confirmed echocardiographic images. Primary cardiac tumours are a rare entity, and their incidence is ~0.0017–0.019%. The majority of them are benign, but in a quarter of cases they are malignant. This case is an example of an MFH which caused embolism to the central nervous system.

Keywords: Echocardiography; 3D-echo; Cardiac tumours; Cardiac sarcomas; Malignant fibrous histiocytoma


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