The diagnosis of tricuspid valve myxomas by echocardiography: one case and literature review

Abstract

Objective To investigate the echocardiographic features of cardiac valve myxoma in combination with cases and literature. Methods Retrospectively analyzed one case of tricuspid valve myxoma which was diagnosed and treated in our hospital. The clinical manifestations, pathophysiological changes and echocardiographic features of cardiac valvular myxoma were summarized in combination with literature. Results The valvular myxoma is extremely rare. Its clinical manifestations are obstruction, embolism and systemic manifestations. Because of its attachment to the valve, it mainly causes valve opening and closing function, resulting in stenosis or insufficiency of the valve orifice, and then causes corresponding hemodynamic changes. Echocardiographic manifestations are isoecho or slightly strong echo mass with pedicle attached to the valve, and its activity increases with the opening and closing of the valve. Conclusions The valvular myxoma is extremely rare. Echocardiography is the preferred imaging evaluation method for the timely and effective diagnosis of valvular myxoma. Combination of transesophageal echocardiography can better help to evaluate the disease. Key words: Tricuspid valve; Myxoma; Ultrasonography; Case reports