Pediatric Cardiology

, Volume 33, Issue 4, pp 656–658 | Cite as

Giant Pulmonary Valve Cyst in a 7-Year-Old Child

  • Hani GhawiEmail author
  • A. C. Polimenakos
  • Ismael Gonzalez
  • Raid Abdulla
  • John Bokowski
Case Report


This report describes the diagnosis and surgical management of a pulmonary valve cystic mass in a symptomatic 7-year-old boy. Cardiac valve cysts are extremely rare beyond the age of 6 months and typically not associated with symptoms. These lesions may grow, leading to progressive stenosis, regurgitation, or ventricular outflow tract obstruction. Therefore, these lesions should be monitored for change in size and/or, hemodynamic changes. Surgical intervention may be required for symptomatic patients.


Cardiac valve cyst Right ventricular outflow tract obstruction Regurgitation Stenosis 



This work did not require external financial support and is submitted with the full knowledge and approval of the listed co-authors.

Supplementary material

246_2012_164_MOESM1_ESM.avi (2.4 mb)
Video clip 1 Transthoracic three-dimensional modified parasternal long-axis views demonstrating anterior pulmonic cysts. (AVI 2468 kb)

Video clip 2 Transthoracic two-dimensional high-short parasternal view showing posterior and anterior pulmonic cysts. (AVI 17984 kb)

Video clip 3 Transthoracic two-dimensional parasternal long-axis view demonstrating large anterior and small posterior pulmonic cysts. (AVI 19244 kb)

246_2012_164_MOESM4_ESM.avi (416 kb)
Video clip 4 Sagittal magnetic resonance angiographic (MRA) view showing significant pulmonic regurgitation and good right ventricular function. (AVI 416 kb)


  1. 1.
    Bharati S, Lev M (1996) The pathology of congenital heart disease: a personal experience with more than 6,300 congenitally malformed hearts, vol 1 and 2. Armonk, NY, pp 495–552, 1211–1246Google Scholar
  2. 2.
    Boyd TAB (1949) Blood cysts on heart valves of infants. Am J Pathol 25:757–759PubMedGoogle Scholar
  3. 3.
    Burke A, Virmani R (1996) Tumors of the heart and great vessels: atlas of tumor pathology. 3rd series, fascicle 16. Armed Forces Institute of Pathology, Washington, DC, p 79Google Scholar
  4. 4.
    Dod H, Bhardwaj R, Singh P, Massinople D, Sajja V, Williams HJ, Livengood RH, Jain A, Failinger C, Nanda NC (2009) Two-dimensional echocardiographic findings of pulmonary valve cyst secondary to pulmonary valvuloplasty. Echocardiography 26:865–867Google Scholar
  5. 5.
    Gallucci V, Stritoni P, Fasoli G, Thiene G (1976) Giant blood cyst of tricuspid valve: successful excision in an infant. Br Heart J 38:990–992PubMedCrossRefGoogle Scholar
  6. 6.
    Hauser AM, Rathod K, McGill J et al (1983) Blood cyst of the papillary muscle: clinical, echocardiographic, and anatomic observations. Am J Cardiol 51:612–613PubMedCrossRefGoogle Scholar
  7. 7.
    Kantelip B, Satge D, Camilleri L, Chenard MP, De Riberolles C (1994) Valvular cyst and atrioventricular canal in a child with trisomy 21. Ann Pathol 14:101–107PubMedGoogle Scholar
  8. 8.
    Levinson SA, Learner A (1932) Blood cysts on the heart valves of newborn infants. Arch Pathol 14:810–817Google Scholar
  9. 9.
    Liese GJ, Brainard SC, Goto U (1963) Giant blood cyst of the pulmonary valve. N Engl J Med 269:465–467Google Scholar
  10. 10.
    McAllister HA Jr, Fenoglio JJ (1978) Tumors of the cardiovascular system: atlas of tumor pathology. 2nd series, fascicle 15. Armed Forces Institute of Pathology, Washington, DC, p 52Google Scholar
  11. 11.
    Miles VN, Favara BE, Morriss JH, Prevedel AE, Hawes CR (1975) Giant blood cyst and congenital pulmonic stenosis: report of a case. Am J Dis Child 129:1079–1081PubMedGoogle Scholar
  12. 12.
    Mills SD (1935) The occurrence of blood-filled cysts on the cardiac valves in infancy. J Pediatr 6:51–56CrossRefGoogle Scholar
  13. 13.
    Minato H, Manabe T, Masaki H, Kawahara Y (1997) Blood cyst of the pulmonary valve in an adult: report of a case and review of the literature. Hum Pathol 28:252–255PubMedCrossRefGoogle Scholar
  14. 14.
    Pasaoglu I, Dogan R, Demircin M, Bozer AY (1993) Blood cyst of the pulmonary valve causing pulmonic valve stenosis. Am J Cardiol 72:493–494PubMedCrossRefGoogle Scholar
  15. 15.
    Pelikan HM, Tsang TS, Seward JB (1999) Giant blood cyst of the mitral valve. J Am Soc Echocardiogr 12:1005–1007PubMedCrossRefGoogle Scholar
  16. 16.
    Perez y Perez A, Franco-Vazquez JS (1974) Severe pulmonary stenosis caused by a blood cyst: adequate surgical correction. Union Med Can 103:1594–1596Google Scholar
  17. 17.
    Roberts PF, Serra AJ, McNicholas KW, Shapira N, Lemole GM (1996) Atrial blood cyst: a rare finding. Ann Thorac Surg 62:880–882PubMedGoogle Scholar
  18. 18.
    Sakakibara S, Katsuhara K, Iida Y, Nishida H (1967) Pulmonary subvalvular tumor. Dis Chest 51:637–642PubMedCrossRefGoogle Scholar
  19. 19.
    Sharma S, Strauss R, Swanson JS (2000) Giant blood cyst of the mitral valve. Asian Cardiovasc Thorac Ann 8:278–279Google Scholar
  20. 20.
    Zimmerman KG, Paplanus SH, Dong S, Nagle RB (1983) Congenital blood cysts of the heart valves. Hum Pathol 14:699–703PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Hani Ghawi
    • 1
    Email author
  • A. C. Polimenakos
    • 1
  • Ismael Gonzalez
    • 1
  • Raid Abdulla
    • 1
  • John Bokowski
    • 1
  1. 1.Rush University Medical CenterChicagoUSA

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