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Inicio Cirugía Cardiovascular A rare cardiac tumor incidentally discovered
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Vol. 24. Núm. 2.
Páginas 51-118 (Marzo - Abril 2017)
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Vol. 24. Núm. 2.
Páginas 51-118 (Marzo - Abril 2017)
Images in Thoracic and Cardiovascular Surgery
DOI: 10.1016/j.circv.2016.06.005
Open Access
A rare cardiac tumor incidentally discovered
Un tumor cardíaco diagnosticado incidentalmente
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689
Cátia Costaa,
Autor para correspondencia
ccatiasofia@sapo.pt

Corresponding author.
, Márcio Madeirab, Sérgio Boshoffb, Regina Ribeirasb
a Hospital Santarém, Santarém, Portugal
b Hospital Santa Cruz, Carnaxide, Portugal
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We report the case of a 61-year-old man admitted with persistent fever lasting two weeks. He had a pacemaker since 2006 due to a complete atrioventricular block. His physical examination was unremarkable, with the exception of the presence of fever. Analytical evaluation revealed a mild elevation of protein-C-reactive.

2D echocardiographic assessment revealed a mass attached to anterior mitral valve leaflet (Fig. 1A and B, Video 1), already documented but not investigated several years ago. The exam also revealed a large vegetation attached to pacemaker cable, without tricuspid valve involvement (Fig. 1B, Video 2). Blood cultures identified a Staphylococcus epidermidis and antibiotics were administered during the preconized time.1 The patient was submitted to the surgical extraction of pacemaker cables with the vegetation and removal of the mitral mass (Fig. 1C and D). Another pacemaker was implanted after several weeks.

Figure 1.

(A,B) 2D echocardiographic (C,D) large vegetation attached to pacemaker cable.

(0,34MB).

The pathological exam of the mitral valve mass revealed a haemangioma. This has a prevalence of 1–5% of all benign cardiac tumors.2 Its clinical presentation varies, depending on the location and size.2 The prognosis is unpredictable, since there is the risk of recurrence.2 This case reports an incidental discover of a rare cardiac tumor during the diagnosis of another cardiac mass.

Ethical disclosuresProtection of human and animal subjects

The authors declare that the procedures followed were in accordance with the regulations of the responsible Clinical Research Ethics Committee and in accordance with those of the World Medical Association and the Helsinki Declaration.

Confidentiality of data

The authors declare that they have followed the protocols of their work centre on the publication of patient data.

Right to privacy and informed consent

The authors must have obtained the informed consent of the patients and/or subjects mentioned in the article. The author for correspondence must be in possession of this document.

Appendix A
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References
[1]
G. Habib, P. Lancellotti, M. Antunes, M. Bongiorni, J. Casalta, F. Del Zotti, et al.
2015 ESC Guidelines for the management of infective endocarditis: the Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC) Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM).
Eur Heart J, 36 (2015), pp. 3075-3128
[2]
C. Basso, S. Rizzo, M. Valente, G. Thiene.
Prevalence and pathology of primary cardiac tumours.
Cardiovasc Med, 15 (2012), pp. 18-29
Copyright © 2016. Sociedad Española de Cirugía Torácica-Cardiovascular
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