DOI: 10.1055/s-0040-1716636
Foregut Cyst in Heart: Case Report
Abstract
A 70-year-old female presented with gradual onset of dyspnea with moderate exertion for 6 months. She had a history of stroke 1 month back which was resolved. On two-dimensional echo, she had a mass in left atrium (1.6 × 1.6 cm) with base attached to interatrial septum adjacent to anterior mitral leaflet. On coronary angiography, she had lesion in left anterior descending coronary artery (LAD) with 60 to 70% stenosis. But intraoperative transesophageal echocardiography revealed mass in left ventricle attached to posterior mitral leaflet undersurface. The operation was performed; coronary artery bypass graft surgery with left internal mammary artery to LAD grafting and transannular decompression of the left ventricular mass was performed. Surgery was done uneventfully. The cyst content consisted of necrotic sebaceous-type material with calcification. Histopathology of excised material revealed it to be a foregut cyst of myocardium. The patient had an uneventful postoperative course and was discharged in good clinical condition.
Publication History
Publication Date:
08 October 2020 (online)
© 2020. Official Publication of The Simulation Society (TSS), accredited by International Society of Cardiovascular Ultrasound ISCU. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)
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References
- 1 Miralles A, Bracamonte L, Pavie A. et al. Cardiac echinococcosis. Surgical treatment and results. J Thorac Cardiovasc Surg 1994; 107 (01) 184-190
- 2 Strollo DC, Rosado-de-Christenson ML, Jett JR. Primary mediastinal tumors: part II. Tumors of the middle and posterior mediastinum. Chest 1997; 112 (05) 1344-1357
- 3 McAllister HA, Fenoglio JJ. Tumors of the cardiovascular system. In: Hartman WH, Cowan WR. eds. Atlas of Tumor Pathology. Fascicle 15, Second Series. Washington, DC: Armed Forces Institute of Pathology; 1978: 1-64
- 4 Huang JH, Rudzinski ER, Minette MS, Langley SM. First case of intracardiac foregut cyst occurring in the left-ventricular outflow tract. Pediatr Cardiol 2013; 34 (08) 2060-2062