Enlarging blood cyst with atrial septal defect causing tricuspid obstruction

Blood cysts are benign tumors in nature and seldom need surgical removal. Herein, we report an 86-year-old patient with a blood cyst originating from the fossa ovalis accompanied by an atrial septal defect. The patient used the bizarre sleeping postures, including prostrating and worshiping, to reli...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2020-12, Vol.68 (12), p.1461-1464
Main Authors: Chang, Yu-Lien, Liao, Kuo-Sheng, Tseng, Hsiu-Hsueh, Liu, Yin-Tso
Format: Article
Language:English
Subjects:
Aged, 80 and over
Blood clots
Calcification
Cardiac Surgery
Cardiology
Case Report
Conflicts of interest
Cysts
Cysts - complications
Cysts - diagnostic imaging
Cysts - surgery
Endothelium
Heart
Heart Septal Defects, Atrial - complications
Heart Septal Defects, Atrial - diagnostic imaging
Heart Septal Defects, Atrial - surgery
Hemodynamics
Humans
Medicine
Medicine & Public Health
Surgical Oncology
Thoracic Surgery
Tricuspid Valve - diagnostic imaging
Tricuspid Valve - surgery
Tumors
Vascular Diseases
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Summary:Blood cysts are benign tumors in nature and seldom need surgical removal. Herein, we report an 86-year-old patient with a blood cyst originating from the fossa ovalis accompanied by an atrial septal defect. The patient used the bizarre sleeping postures, including prostrating and worshiping, to relieve chest tightness. The septal base defect kept the tumor progressively enlarged with time, which contributed to a “ball-valve “effect and caused tricuspid flow obstruction. It was resolved after excision. This case report emphasizes that long-term follow-up and increased awareness are required for unpredictable intracardiac blood cyst development.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-019-01281-6