Asymptomatic Pulmonic Valve Mass: A Diagnostic and Therapeutic Dilemma.

Autor:	Khan WJ; Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, USA., Asif M; Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, USA., Nadeem I; Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, USA., Badshah MB; Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Feb 17; Vol. 15 (2), pp. e35104. Date of Electronic Publication: 2023 Feb 17 (Print Publication: 2023).
DOI:	10.7759/cureus.35104
Abstrakt:	Cardiac masses are not common but remain important in cardiology practice as they can cause havoc to a patient's life through obstructive and arrhythmogenic symptoms. These lesions mostly include vegetation, thrombi, and tumors. Myxomas are the most common primary cardiac tumor, primarily arising from the left heart chambers. It is exceedingly rare for a myxoma to emerge from the right-sided cardiac valves. The standard treatment is surgical resection, regardless of size, which is not always possible. We report a unique case of a male with multiple co-morbidities who presented with an incidental finding of a pulmonary valve mass suspicious of being a myxoma. The myxomatous mass was asymptomatic with no right ventricular outflow tract obstruction. Echocardiogram can help identify and characterize these lesions, but this may not be easy, especially in the case of atypical location or morphology of the mass. Similarly, in some cases, the patient may not be able to undergo surgical excision. In such cases, there is no consensus or guidelines to help clinicians best manage the patients medically, creating a diagnostic and therapeutic dilemma. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Khan et al.)
Databáze:	MEDLINE
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