Multimodality imaging in assessment of mitral valve tumors: An unusual papillary fibroelastoma?

Autor: Oumama Soussi, MD, Hamza Chraibi, MD, Sanae Es-sebbani, PhD, Omar Ech-Cherif El Kettani, MD, Lamyaa Bakamel, MD, Emad Massri, MD, Mounir Nesnassi, MD, Hasnaa Leghlimi, PhD, Fadoua Lachhab, MD, Mohammed Tribak, PhD, Rokya Fellat, PhD, Adil Bensouda, PhD, Nesma Bendagha, PhD, Aida Soufiani, PhD, Said Moughil, PhD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Radiology Case Reports, Vol 19, Iss 5, Pp 1975-1979 (2024)
Druh dokumentu: article
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2024.02.027
Popis: Mitral valve masses are uncommon. These tumors and tumor-like lesions may have similar morphological and clinical characteristics, but different outcomes. Unlike valvular tumors, caseous calcification of the mitral annulus (CCMA) is a benign degenerative disorder, commonly misdiagnosed, thus differentiating it from other mitral valve masses is important to avoid unnecessary surgery. Multimodality imaging can prove a valuable tool for definitive diagnosis. We present a case of a 72-year-old female patient, with coronary artery disease, referred for angina symptoms. Echocardiography detected a mass in the mitral valve annulus. Cardiac magnetic resonance imaging showed a mobile mass respecting the myocardium suggestion an atypical papillary fibroelastoma and surgery was indicated. However, the definitive diagnosis, after histological examination, was CCMA. The aim of this case report is to illustrate the difficulty in differentiating between mitral valve masses and the repercussion on the subsequent management, emphasizing the pivotal role of multimodality imaging.
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