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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0050" class="elsevierStylePara elsevierViewall">Amorphous cardiac tumor is a rare non-neoplastic mass that mimics malignancy and can cause symptoms due to flow obstruction or embolization of calcific fragments&#46; The histological findings are characteristic&#44; including calcification and amorphous fibrinous material&#46; Its exact etiology is unknown&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">A 79-year-old woman was referred to our department because of suspected angina&#46; The electrocardiogram showed ventricular repolarization abnormalities in the lateral wall&#46; Transthoracic echocardiography showed preserved biventricular systolic function&#44; without wall motion abnormalities&#44; a mitral valve with normal functional area and marked calcification of the annulus&#44; and on the ventricular side a hyperechoic&#44; threadlike and highly mobile mass&#44; protruding into the left ventricular outflow tract&#44; causing a dynamic gradient of 24 mmHg &#40;<a class="elsevierStyleCrossRef" href="#sec0060">Video 1</a>&#41;&#46; Transesophageal echocardiography &#40;TEE&#41; showed a mass adjacent to the posterior annulus of the mitral valve&#44; measuring about 25 mm&#215;5 mm &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#59; <a class="elsevierStyleCrossRef" href="#sec0060">Video 2 and 3</a>&#41;&#46; Computed tomography confirmed a large calcified mass attached to the ventricular side of the mitral valve &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>&#41;&#46; No mass was observed on cardiac magnetic resonance imaging&#44; probably due to its marked mobility&#46; Myocardial perfusion scintigraphy showed evidence of inferolateral ischemia and cardiac catheterization revealed left main and three-vessel disease&#46; Bypass surgery was performed and the intraventricular tumor was removed &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>&#41;&#46; Histology confirmed the diagnosis of calcified amorphous tumor &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall">Calcified amorphous tumor is a rare cardiac lesion with an excellent outcome&#46; The clinical presentation is similar to other cardiac tumors&#44; and surgical removal and histopathological examination are essential for an accurate diagnosis&#46;</p><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0065" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0070" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0075" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0090" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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Image in Cardiology
Amorphous tumor of the mitral valve
Tumor amorfo da válvula mitral
Henrique Guedesa,
Corresponding author
henrique.jp.guedes@gmail.com

Corresponding author.
, Nuno Morenoa, Rui Cunha Sousaa, Mário Jorge Amorimb, Aurora Andradea, Paula Pintoa
a Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal
b Cardio-Thoracic Surgery Department, Centro Hospital São João, Porto, Portugal
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0050" class="elsevierStylePara elsevierViewall">Amorphous cardiac tumor is a rare non-neoplastic mass that mimics malignancy and can cause symptoms due to flow obstruction or embolization of calcific fragments&#46; The histological findings are characteristic&#44; including calcification and amorphous fibrinous material&#46; Its exact etiology is unknown&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">A 79-year-old woman was referred to our department because of suspected angina&#46; The electrocardiogram showed ventricular repolarization abnormalities in the lateral wall&#46; Transthoracic echocardiography showed preserved biventricular systolic function&#44; without wall motion abnormalities&#44; a mitral valve with normal functional area and marked calcification of the annulus&#44; and on the ventricular side a hyperechoic&#44; threadlike and highly mobile mass&#44; protruding into the left ventricular outflow tract&#44; causing a dynamic gradient of 24 mmHg &#40;<a class="elsevierStyleCrossRef" href="#sec0060">Video 1</a>&#41;&#46; Transesophageal echocardiography &#40;TEE&#41; showed a mass adjacent to the posterior annulus of the mitral valve&#44; measuring about 25 mm&#215;5 mm &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>&#59; <a class="elsevierStyleCrossRef" href="#sec0060">Video 2 and 3</a>&#41;&#46; Computed tomography confirmed a large calcified mass attached to the ventricular side of the mitral valve &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>&#41;&#46; No mass was observed on cardiac magnetic resonance imaging&#44; probably due to its marked mobility&#46; Myocardial perfusion scintigraphy showed evidence of inferolateral ischemia and cardiac catheterization revealed left main and three-vessel disease&#46; Bypass surgery was performed and the intraventricular tumor was removed &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>&#41;&#46; Histology confirmed the diagnosis of calcified amorphous tumor &#40;<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall">Calcified amorphous tumor is a rare cardiac lesion with an excellent outcome&#46; The clinical presentation is similar to other cardiac tumors&#44; and surgical removal and histopathological examination are essential for an accurate diagnosis&#46;</p><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0065" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0070" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0075" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0090" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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Article information
ISSN: 21742049
Original language: English
DOI:10.1016/j.repce.2016.11.009
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