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Related Concept Videos

Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

50
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
50
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

96
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
96
Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

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IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
87
Mitral Stenosis I: Introduction01:22

Mitral Stenosis I: Introduction

93
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
93
Mitral Regurgitation II: Clinical Features and Diagnostic Tests01:23

Mitral Regurgitation II: Clinical Features and Diagnostic Tests

91
Mitral regurgitation (MR) is a valvular heart disorder in which the mitral valve fails to close tightly, allowing blood to leak backward into the heart. Understanding the clinical manifestations, assessment, diagnostic findings, and medical management of MR is crucial to effectively managing affected patients.Clinical Manifestations of Mitral RegurgitationMitral regurgitation can be acute or chronic, each presenting differently and requiring different approaches:1. Acute Mitral...
91
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

92
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
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Updated: Oct 26, 2025

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
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Giant Tricuspid Valve Fibroelastoma Incidentally Diagnosed During Routine Stress Testing.

Christina Cardy1, Nicole Riddle2, John Dunning3

  • 1Division of Cardiovascular Sciences, University of South Florida Health, Tampa, Florida.

JACC. Case Reports
|July 28, 2021
PubMed
Summary
This summary is machine-generated.

Papillary fibroelastomas (PFEs), rare heart tumors, usually affect left heart valves. This case highlights a large PFE on the tricuspid valve in a young police officer presenting with arrhythmias.

Keywords:
CMR, cardiac magnetic resonancePFE, papillary fibroelastomaPVC, premature ventricular contractionRVOT, right ventricular outflow tractTEE, transesophageal echocardiogramcardiac magnetic resonancecardiac tumorechocardiographypapillary fibroelastomapathologytricuspid valve

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Area of Science:

  • Cardiology
  • Cardiac Oncology
  • Cardiovascular Pathology

Background:

  • Papillary fibroelastomas (PFEs) are the most common primary cardiac tumors, predominantly affecting the heart valves.
  • While typically found on left-sided valves (aortic and mitral), PFEs can occur on any heart valve.

Observation:

  • A 43-year-old police officer presented with frequent premature ventricular contractions detected during a routine treadmill stress test.
  • Diagnostic imaging revealed a giant papillary fibroelastoma on the tricuspid valve, an unusual location for this type of tumor.

Findings:

  • The case details the comprehensive evaluation and successful treatment of a large PFE located on the tricuspid valve.
  • This finding is notable given the tumor's size and atypical location.

Implications:

  • This case underscores the importance of considering PFEs in the differential diagnosis of cardiac tumors, even in unusual locations.
  • It highlights the need for thorough cardiac evaluation in individuals presenting with unexplained arrhythmias, regardless of age or perceived health status.