Bir Çocuk Hastada Mitral Kapak Kan Kisti

Öz

İntrakardiyak kan kistleri çoğunlukla kalp kapakçıklarında yer alır. Hastaların çoğu asemptomatiktir. Ancak mitral kapak yetersizliği, sol ventrikül çıkış yolu tıkanıklığı ve hatta bazı nadir vakalarda, özellikle erişkinlerde inme ile ilişkili olabileceği iddia edilmiştir. Tedavisi konusunda bir fikir birliği yoktur. Ancak kalp fonksiyonları üzerinde olumsuz etkisi olan vakalarda lezyonun rezeksiyonu düşük riskli cerrahi prosedürlerle yapılır. Tesadüfen tespit ettiğimiz mitral kapak kan kisti vakamızı, asemptomatik olması ve bu lezyonun kalp fonksiyonları üzerinde olumsuz bir etkisi olmaması nedeniyle takip etmeye karar verdik.

Anahtar Kelimeler

• mitral kapak
• kan kisti
• pediatri

Mitral Valve Blood Cyst in a Pediatric Patient

Öz

Intracardiac blood cysts mostly located in the heart valves. Most patients are asymptomatic. However, it has been claimed that it may be associated with mitral valve insufficiency, left ventricular outflow tract obstruction, and even stroke in some rare cases, especially in adults. There is no consensus on its treatment. However, in cases with negative effects on heart functions, resection of the lesion is performed with low-risk surgical procedures. We decided to follow up our case of mitral valve blood cyst, which we detected incidentally, because it was asymptomatic and this lesion did not have a negative effect on heart functions.

Anahtar Kelimeler

• mitral valve
• blood cyst
• pediatric

Kaynakça

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2. López‐Pardo F, López‐Haldón J, Granado‐Sánchez C, Rodríguez‐ Puras MJ, Martínez‐Martínez A. A heart inside the heart: blood cyst of mitral valve. Echocardiography. 2008;25(8):928-930.
3. Zimmerman KG, Paplanus SH, Dong S, Nagle RB. Congenital blood cysts of the heart valves. Human pathology. 1983;14(8):699- 703.
4. Dencker M, Jexmark T, Hansen F, Tydén P, Roijer A, Lührs C. Bileaflet blood cysts on the mitral valve in an adult. Journal of the American Society of Echocardiography. 2009;22(9):1085. e5-. e8.
5. Xie SW, Lu O-L, Picard MH. Blood cyst of the mitral valve: detection by transthoracic and transesophageal echocardiography. Journal of the American Society of Echocardiography. 1992;5(5):547-550.
6. Beale RA, Russo R, Beale C, Levin W, Atalay MK, Fingleton J, et al. Mitral valve blood cyst diagnosed with the use of multimodality imaging. CASE. 2021;5(3):173-176.