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Cardiac Mass With Calcification Forming Pulmonary Atresia in Utero; A Case of Fetal Endocarditis

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Abstract

Fetal intracardiac mass with calcification is very rare and not well reported. The authors treated a patient with a cardiac mass presumed to be infective endocarditis in the tricuspid valve and pulmonary valve positions with postcalcification echocardiographic shadow forming pulmonary atresia. Although postnatal consecutive blood cultures for bacterial and fungal pathogens tested negative, serial follow-up echocardiograms and surgical findings suggested infective endocarditis. This report describes a very rare case of presumed fetal infective endocarditis presenting as a calcified mass, which was successfully treated by partial resection without significant morbidity.

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References

  1. 1.

    Habib G, Hoen B, Tornos P, Thuny F, Prendergast B, Vilacosta I, Moreillon P, de Jesus Antunes M, Thilen U, Lekakis J, Lengyel M, Müller L, Naber CK, Nihoyannopoulos P, Moritz A, Zamorano JL (2009) Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the task force on the prevention, diagnosis, and treatment of infective endocarditis of the European Society of Cardiology (ESC). Endorsed by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and the International Society of Chemotherapy (ISC) for Infection and Cancer. Eur Heart J 30:2369–2413

  2. 2.

    Hoen B (2006) Epidemiology and antibiotic treatment of infective endocarditis: an update. Heart 92:1694–1700

  3. 3.

    Holley DG, Martin GR, Brenner JI, Fyfe DA, Huhta JC, Kleinman CS, Ritter SB, Silverman NH (1995) Diagnosis and management of fetal cardiac tumors: a multicenter experience and review of published reports. J Am Coll Cardiol 26:516–520

  4. 4.

    Lasser A (1983) Calcification of the myocardium. Hum Pathol 14:824–826

  5. 5.

    Macgregor RR, McKendry R (1944) Fetal endocarditis. Can Med Assoc J 50:433–435

  6. 6.

    Respondek M, Kaluzynski A, Alwasiak J, Jaszewski P, Wilczynski J (1993) Fetal endocarditis in left atrial isomerism: a case report. Ultrasound Obstet Gynecol 3:45–47

  7. 7.

    Simchen MJ, Toi A, Silver M, Smith CR, Hornberger LK, Taylor G, Chitayat D (2006) Fetal cardiac calcifications: report of four prenatally diagnosed cases and review of the literature. Ultrasound Obstet Gynecol 27:325–330

  8. 8.

    Thuny F, Grisoli D, Collart F, Habib G, Raoult D (2012) Management of infective endocarditis: challenges and perspectives. Lancet 379:965–975

  9. 9.

    Veldtman GR, Blackburn ME, Wharton GA, daCosta P, Gibbs JL (1999) Dystrophic calcification of the fetal myocardium. Heart 81:92–93

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Author information

Correspondence to Gi Beom Kim.

Electronic supplementary material

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Movie clip 1 Postnatal tricuspid valve mass shown by transthoracic echocardiogram. A hyperechoic movable mass with a postcalcification echocardiographic shadow is shown. (AVI 825 kb)

Movie clip 2 Postnatal pulmonic valve mass shown by transthoracic echocardiogram. A hyperechoic mass with a postcalcification echocardiographic shadow and right ventricular outlet tract obstruction is shown. (AVI 932 kb)

Movie clip 1 Postnatal tricuspid valve mass shown by transthoracic echocardiogram. A hyperechoic movable mass with a postcalcification echocardiographic shadow is shown. (AVI 825 kb)

Movie clip 2 Postnatal pulmonic valve mass shown by transthoracic echocardiogram. A hyperechoic mass with a postcalcification echocardiographic shadow and right ventricular outlet tract obstruction is shown. (AVI 932 kb)

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Jin, B.K., Kim, G.B., Kwon, B.S. et al. Cardiac Mass With Calcification Forming Pulmonary Atresia in Utero; A Case of Fetal Endocarditis. Pediatr Cardiol 34, 1908–1910 (2013). https://doi.org/10.1007/s00246-012-0452-z

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Keywords

  • Calcification
  • Cardiac tumor
  • Endocarditis
  • Pulmonary valve
  • Tricuspid valve