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Eur J Cardiothorac Surg 2008;34:906. doi:10.1016/j.ejcts.2008.06.024
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.

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Images in cardio-thoracic surgery

A free-floating ball-shaped thrombus of the tricuspid valve

Shinji Kanemitsu*, Yoichiro Miyake, Manabu Okabe

Division of Cardiovascular Surgery, Kochi Health Sciences Center, Kochi, Japan

Received 13 May 2008; received in revised form 7 June 2008; accepted 12 June 2008.

* Corresponding author. Tel.: +81 88 837 3000; fax: +81 837 6766. (Email: skanemitsu70{at}yahoo.co.jp).

Key Words: Tricuspid valve • Thrombus • Ventricular septal defect

A 26-year-old man was admitted for follow-up after VSD closure without any symptoms. Echocardiography showed a mobile mass of the tricuspid valve (Fig. 1 ). The pedunculated ball-shaped mass was attached to the anterior leaflet of the tricuspid valve (Fig. 2 ). Histopathological examination revealed an organized thrombus without any tumor components.


Figure 1
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Fig. 1. Preoperative transthoracic echocardiography imaging. A free-floating ball-shaped mass (15 mm in diameter) is attached to the anterior leaflet of the tricuspid valve.

 

Figure 2
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Fig. 2. Intraoperative view showing the thrombus. The ball-shaped mass attached to the anterior leaflet of the tricuspid valve by a stem.

 





This Article
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Right arrow Articles by Kanemitsu, S.
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PubMed
Right arrow Articles by Kanemitsu, S.
Right arrow Articles by Okabe, M.
Related Collections
Right arrow Cardiac - other
Right arrow Valve disease


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