Fibrous cyst of the chordae tendineae of the mitral valve: echocardiographic appearance and literature review

Echocardiography. 2015 Jan;32(1):174-7. doi: 10.1111/echo.12750. Epub 2014 Sep 24.

Abstract

Fibrous cyst of the chordae tendineae of the mitral valve (MV) is defined as a fibrous cyst arising from the chordae tendineae of the MV. It is extremely rare and its etiology is not clear. We present a case of a cystic structure within the left ventricle. This structure is connected to the anterior MV leaflet and the posterior chordae tendineae. It moves freely, resulting in stenosis of inflow tract and outflow tract of the left ventricle. Intraoperative assessment and histopathologic examination revealed it as a fibrous cyst. Its echocardiographic appearance is unique and it must be resected immediately.

Keywords: chordae tendineae; echocardiography; fibrous cyst; mitral valve.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Chordae Tendineae / diagnostic imaging*
  • Cysts / complications
  • Cysts / diagnostic imaging*
  • Cysts / surgery
  • Echocardiography / methods*
  • Humans
  • Male
  • Mitral Valve / diagnostic imaging
  • Mitral Valve Insufficiency / complications
  • Mitral Valve Insufficiency / diagnostic imaging*
  • Mitral Valve Insufficiency / surgery
  • Treatment Outcome
  • Ventricular Outflow Obstruction / diagnostic imaging*
  • Ventricular Outflow Obstruction / etiology
  • Ventricular Outflow Obstruction / surgery