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Rare disease
Cardiac tumour in a patient with rheumatic heart disease
  1. Rajiv Ananthakrishna1,
  2. Manjunath C Nanjappa1,
  3. Giridhar Kamalapurkar2,
  4. Prabhavathi Bhat1,
  5. Arunkumar Panneerselvam1,
  6. Naveen Chander2,
  7. Dhanalakshmi Chandrasekaran3
  1. 1Cardiology Department, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India
  2. 2Cardiothoracic and Vascular Surgery Department, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India
  3. 3Echocardiography Department, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India
  1. Correspondence to Dr Rajiv Ananthakrishna, rajiva.ms{at}gmail.com

Summary

A 45-year-old female known to suffer from rheumatic heart disease (RHD), presented with breathlessness of 1 year duration. Two-dimensional echocardiography revealed significant mitral and aortic valve disease mandating double valve replacement. In addition, an unusual finding in the form of a well-defined, densely calcified intramyocardial left ventricular mass was noted on echocardiography. The nature and extent of the mass was assessed by additional imaging modalities. Patient underwent excision of the mass followed by double valve replacement. Histopathology was consistent with cardiac calcific amorphous tumour (CAT). An unusual occurrence of CAT in a patient with RHD is presented herein. This rare tumour has not been previously described in patients with RHD.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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