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European Journal of Echocardiography Advance Access originally published online on April 2, 2009
European Journal of Echocardiography 2009 10(4):588-589; doi:10.1093/ejechocard/jep029
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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

Blood cyst of tricuspid valve: an incidental finding in a patient with ventricular septal defect

Mustafa T. Agac*, Zeydin Acar, Turhan Turan, Bilgehan Karadag, Selim Kul and Hakan Erkan

Department of Cardiology, Trabzon Numune Training and Research Hospital, Maras Street, Trabzon 61040, Turkey

Received 5 January 2009; accepted after revision 7 March 2009; online publish-ahead-of-print 2 April 2009.

* Corresponding author. Tel: +90 533 6544688; fax: +90 462 2302307. E-mail address: tarikagac{at}gmail.com


  Abstract

Blood-filled cysts of heart valves are rare in adults. These cysts are diverticuli lined by endothelium and filled with blood. They appear to be benign lesions and should be removed if they cause problems. We present the case of a mobile tricuspid valve blood cyst that was incidentally found in a patient evaluated for systolic heart murmur. Systolic murmur was found to originate from a muscular-type ventricular septal defect of no haemodynamic significance. The lack of echocardiographic evidence of tricuspid valvular dysfunction and indication for repair of co-existent ventricular septal defect suggested a benign course and, therefore, we monitored the patient safely by echocardiography.

Keywords: Blood cyst; Tricuspid valve; Ventricular septal defect; Contrast echocardiography


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