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Case Reports
. 2023 Mar 28;7(7):288-291.
doi: 10.1016/j.case.2023.01.007. eCollection 2023 Jul.

Decision-Making in a Pulmonary Valve Fibroelastoma: The Role of Intraoperative Transesophageal Echocardiography

Lorrain Banuls  1 , Rafa Jireh O Iglesias  1 , Fábio de Vasconcelos Papa  1 , Mimi Xiaoming Deng  2 , David A Latter  2
Affiliations
Case Reports

Decision-Making in a Pulmonary Valve Fibroelastoma: The Role of Intraoperative Transesophageal Echocardiography

Lorrain Banuls et al. CASE (Phila). .
No abstract available

Keywords: Cardiac fibroelastoma; Cardiac surgery; Cardiac tumor; Pulmonary valve; Transesophageal echocardiography.

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Figures

None
Graphical abstract
Figure 1
Figure 1
Two-dimensional TEE, midesophageal, RV inflow-outflow (69°) view, early diastolic phase, demonstrates a round, heterogeneous echogenicity, smooth-edged mass (arrow) in the RVOT.
Figure 2
Figure 2
Two-dimensional TEE, deep transgastric RV outflow (0°) view without (A) and with (B) color flow Doppler in late systole demonstrates a nonobstructive mass (arrow) with laminar, nonturbulent flow in the RVOT attached to the pulmonary valve.
Figure 3
Figure 3
Two-dimensional TEE, midesophageal, RVOT (69°) view in midsystole demonstrates the pulmonary valve mass, which measured 1.2 × 1.1 cm in maximal dimensions.
Figure 4
Figure 4
Two-dimensional TEE, upper esophageal, ascending aorta short-axis (0°) view, demonstrates a pediculated mass attached to the pulmonary valve protruding in the main pulmonary artery in systole (arrow).
Figure 5
Figure 5
(A) Intraoperative photograph of the in situ mass attached to the ventricular side of the pulmonary valve (arrows). (B) Intraoperative photograph of the excised mass.
Figure 6
Figure 6
Two-dimensional TEE with color flow Doppler, midesophageal RV inflow-outflow (52°) view, late diastolic phase after removal of the mass, demonstrates a centrally directed, long jet of PR (∗) with a narrow origin consistent with mild to moderate grade.
Figure 7
Figure 7
Two-dimensional TEE, deep transgastric (0°) view with continuous-wave Doppler cursor aligned with postoperative PR demonstrates a nonsevere pressure half-time of 203 ms.
See this image and copyright information in PMC

References

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