Ashwin K. Thiagarajasubramanian, MD, Sandip K. Zalawadiya, MD, Luis C

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Presentation transcript:

An Incidentally Discovered Pedunculated Degenerative Cyst on the Aortic Valve Ashwin K. Thiagarajasubramanian, MD, Sandip K. Zalawadiya, MD, Luis C. Afonso, MD, FACC The Annals of Thoracic Surgery Volume 100, Issue 5, Pages e107-e109 (November 2015) DOI: 10.1016/j.athoracsur.2015.05.123 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Transesophageal echocardiogram, showing pedunculated cystic mass attached to the right coronary cusp (RCC) of the aortic valve. (LCC = left coronary cusp; NCC = noncoronary cusp.) The Annals of Thoracic Surgery 2015 100, e107-e109DOI: (10.1016/j.athoracsur.2015.05.123) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Video clip from transesophageal echocardiogram showing the pedunculated cyst on the right coronary aortic valve cusp moving with each heartbeat. The Annals of Thoracic Surgery 2015 100, e107-e109DOI: (10.1016/j.athoracsur.2015.05.123) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Histologically, the cyst contained fibrinous material, scattered white blood cells and red blood cells, and extensive microcalcifications—all nonspecific findings seen in degenerating tissue (hematoxylin and eosin stain, ×20). The Annals of Thoracic Surgery 2015 100, e107-e109DOI: (10.1016/j.athoracsur.2015.05.123) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions