European heart journal. Case reports · 2026
Cardiac valve mass revealed by venous and arterial embolism: case report and review of the literature.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Derbel Emna, Turki Naziha, Kechaw Iheb, Hammami Rania
Аннотация
BACKGROUND: Intracardiac masses are rare, occurring in approximately 0.1%-0.3% of patients undergoing echocardiography. They include thrombi, vegetations, and tumours. Echocardiographic identification is often challenging and can be misleading.
CASE SUMMARY: We report a 72-year-old man admitted for concomitant deep vein thrombosis and a transient ischaemic stroke. Transthoracic echocardiography showed a small mass appended to the mitral valve. Transoesophageal echocardiography, performed to investigate paradoxical embolism showed a hyperechoic, mobile mitral mass attached to the leaflets closure line, without mitral regurgitation or stenosis. Valvular fibroelastoma, myxoma, and endocarditis were considered in the differential diagnosis; however, inflammatory markers and microbiological tests were unremarkable. Whole-body CT revealed pancreatic cancer, supporting the diagnosis of marantic endocarditis. The patient received curative anticoagulation with apixaban and was referred to an oncologist. The evolution was favourable after 3 months.
DISCUSSION: We will discuss through our case and a literature review of the distinctive clinical and echocardiographic features of valve mass diagnosis.
CASE SUMMARY: We report a 72-year-old man admitted for concomitant deep vein thrombosis and a transient ischaemic stroke. Transthoracic echocardiography showed a small mass appended to the mitral valve. Transoesophageal echocardiography, performed to investigate paradoxical embolism showed a hyperechoic, mobile mitral mass attached to the leaflets closure line, without mitral regurgitation or stenosis. Valvular fibroelastoma, myxoma, and endocarditis were considered in the differential diagnosis; however, inflammatory markers and microbiological tests were unremarkable. Whole-body CT revealed pancreatic cancer, supporting the diagnosis of marantic endocarditis. The patient received curative anticoagulation with apixaban and was referred to an oncologist. The evolution was favourable after 3 months.
DISCUSSION: We will discuss through our case and a literature review of the distinctive clinical and echocardiographic features of valve mass diagnosis.