Ramírez-Mesías Diana C, Contreras-Valero Juan F, Pinilla-Monsalve Gabriel D, Vesga-Reyes Carlos E
Hospital Universitario San Ignacio, Bogotá 110231, Colombia.
Pontificia Universidad Javeriana, Bogotá 110231, Colombia.
Case Rep Cardiol. 2020 Jul 27;2020:4320269. doi: 10.1155/2020/4320269. eCollection 2020.
Blood cysts in valves are very rare entities in adults, which can be distinguished through their echocardiographic features. A 57-year-old woman developed sudden dyspnea while hospitalized in the context of urinary sepsis; high-risk pulmonary embolism was diagnosed and she was prescribed systemic thrombolysis. She persisted with fever raising the suspicion of bacterial endocarditis. Transthoracic echocardiography did not report any masses, but later transesophageal imaging revealed a vegetation that was finally characterized as a blood cyst of the mitral valve based on ultrasound features. The patient evolved satisfactorily and did not require surgery.
成人瓣膜血囊肿非常罕见，可通过超声心动图特征进行鉴别。一名57岁女性在因尿脓毒症住院期间突然出现呼吸困难；诊断为高危肺栓塞，并给予全身溶栓治疗。她持续发热，怀疑患有细菌性心内膜炎。经胸超声心动图未发现任何肿块，但后来经食管成像显示有一个赘生物，最终根据超声特征将其确定为二尖瓣血囊肿。患者病情进展顺利，无需手术。
