Tricuspid Valve Tumors: A Rare Entity
Tricuspid valve tumors are extremely rare, accounting for only 3-5% of all heart valve tumors. These tumors can be benign or malignant, and their location on the tricuspid valve can lead to significant clinical consequences.
Types of Tricuspid Valve Tumors:
1. Myxomas: The most common type of benign heart tumor, myxomas can occur on the tricuspid valve.
2. Papillary fibroelastomas: These benign tumors are the second most common type of heart valve tumor and can occur on the tricuspid valve.
3. Malignant tumors: Rarely, malignant tumors such as sarcomas or lymphomas can involve the tricuspid valve.
Clinical Presentation:
Symptoms may include:
Dyspnea (shortness of breath)
Fatigue
Palpitations
Chest pain
Physical examination may reveal:
Tricuspid regurgitation murmur
Tricuspid stenosis murmur
Signs of right heart failure
Diagnosis:
Echocardiography (transthoracic and transesophageal)
Cardiac MRI or CT
Right heart catheterization
Treatment:
Surgical excision of the tumor
Tricuspid valve repair or replacement
Adjuvant therapy (e.g., chemotherapy, radiation) for malignant tumors
Prognosis:
Benign tumors: generally excellent prognosis after surgical excision
Malignant tumors: poor prognosis, with high recurrence and mortality rates
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