Right Ventricle Mass Removal from Tricuspid Valve Apparatus: An Unusual Thromboembolic Complication of Severe Ketoacidosis

Authors

  • Ireneusz Haponiuk 1. Department of Pediatric Cardiac Surgery, Mikolaj Kopernik Hospital in Gdansk 2. Physiotherapy, Gdansk Academy of Physical Education and Sport, Gdansk
  • Maciej Chojnicki Department of Pediatric Cardiac Surgery, Mikolaj Kopernik Hospital in Gdansk
  • Konrad Paczkowski Department of Pediatric Cardiac Surgery, Mikolaj Kopernik Hospital in Gdansk
  • Wojciech Kosiak Departments of Pediatrics, Hematology and Oncology, Medical University of Gdansk, Gdansk
  • Radosław Jaworski Department of Pediatric Cardiac Surgery, Mikolaj Kopernik Hospital in Gdansk
  • Mariusz Steffens Department of Pediatric Cardiac Surgery, Mikolaj Kopernik Hospital in Gdansk
  • Aneta Szofer-Sendrowska Department of Pediatric Cardiac Surgery, Mikolaj Kopernik Hospital in Gdansk
  • Katarzyna Gierat-Haponiuk Departments of Rehabilitation, Medical University of Gdansk, Gdansk
  • Marek Tomaszewski Departments of Pediatrics, Hematology and Oncology, Medical University of Gdansk, Gdansk

DOI:

https://doi.org/10.1532/hsf.1378

Abstract

The presence of a pathologic mass in the right ventricle (RV) may lead to hemodynamic consequences and to a life-threatening incident of pulmonary embolism. The diagnosis of an unstable thrombus in the right heart chamber usually necessitates intensive treatment to dissolve or remove the pathology. We present a report of an unusual complication of severe ketoacidosis: thrombus in the right ventricle, removed from the tricuspid valve (TV) apparatus. A four-year-old boy was diagnosed with diabetes mellitus (DM) type I de novo. During hospitalization, a 13.9 × 8.4 mm tumor in the RV was found in a routine cardiac ultrasound. The patient was referred for surgical removal of the floating lesion from the RV. The procedure was performed via midline sternotomy with extracorporeal circulation (ECC) and mild hypothermia. Control echocardiography showed complete tumor excision with normal atrioventricular valves and heart function. Surgical removal of the thrombus from the tricuspid valve apparatus was effective, safe, and a definitive therapy for thromboembolic complication of pediatric severe ketoacidosis.

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Published

2016-04-06

How to Cite

Haponiuk, I., Chojnicki, M., Paczkowski, K., Kosiak, W., Jaworski, R., Steffens, M., Szofer-Sendrowska, A., Gierat-Haponiuk, K., & Tomaszewski, M. (2016). Right Ventricle Mass Removal from Tricuspid Valve Apparatus: An Unusual Thromboembolic Complication of Severe Ketoacidosis. The Heart Surgery Forum, 19(2), E077-E079. https://doi.org/10.1532/hsf.1378

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