Blood-filled cyst of the tricuspid valve: Multiple cardiac disorders, one surgical case

J Card Surg. 2022 Jan;37(1):245-248. doi: 10.1111/jocs.16108. Epub 2021 Oct 29.

Abstract

Background: Intracardiac blood cysts are an exceedingly rare occurrence in adulthood. Detailed imaging modalities aid in the diagnosis of such incidental lesions and procedure planning.

Methods: We report the case of a 51-year-old male accusing dyspnea on exertion as a sole symptom which led to the discovery of multiple cardiac anomalies, namely, severe aortic valve insufficiency on a bicuspid aortic valve, ascending aortic aneurysm, a cystic mass on the tricuspid valve, patent foramen ovale, and an occluded right coronary artery.

Results: The disorders were managed in a single surgical intervention, the resected mass being confirmed as a blood cyst.

Conclusions: Our case presents a unique association of cardiac disorders, including a highly uncommon intracardiac blood-filled cyst, and underlines the importance of multimodality imaging and interdisciplinary approach in the successful management of such complex cases.

Keywords: cardiac surgery; imaging; intracardiac blood cyst.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery
  • Aortic Valve Insufficiency*
  • Cysts* / diagnostic imaging
  • Cysts* / surgery
  • Heart Defects, Congenital*
  • Humans
  • Male
  • Middle Aged
  • Tricuspid Valve / diagnostic imaging
  • Tricuspid Valve / surgery