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Sun JP, Asher CR, Yang XS, et al: Clinical and echocardiographic characteristics of papillary fibroelastomas: A retrospective and prospective study in 162 patients. Circulation 2001; 103: 2687.

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Article

Mystery of the Right Sided Heart Failure in a Young Patient

1Senior Resident, Department of Cardiology, SMS Medical College and Hospital, Jaipur, Rajasthan, India


American Journal of Medical Case Reports. 2014, Vol. 2 No. 5, 94-96
DOI: 10.12691/ajmcr-2-5-1
Copyright © 2014 Science and Education Publishing

Cite this paper:
Gaurav Khandelwal, Manish Ruhela, Rajeev Bagarhatta. Mystery of the Right Sided Heart Failure in a Young Patient. American Journal of Medical Case Reports. 2014; 2(5):94-96. doi: 10.12691/ajmcr-2-5-1.

Correspondence to: Gaurav  Khandelwal, Senior Resident, Department of Cardiology, SMS Medical College and Hospital, Jaipur, Rajasthan, India. Email: gauravshri1231@yahoo.com

Abstract

A 45 yr old female presented with clinical features of right side heart failure. 2D Echocardiography examination showed a homogenous, irregular, fimbriated mass attached to pulmonary valve, causing right ventricular outflow obstruction, with severe tricuspid regurgitation. To the best of our knowledge, this is the first case report of pulmonary valve mass, possible papillary fibroelastoma, which is large enough to cause right ventricular outflow obstruction, leading to severe tricuspid regurgitation and right sided heart failure.

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