Cardiac Excrescences of Unusual Origin

Mesothelial/monocytic incidental cardiac excrescences (cardiac MICE) are a rare finding that are most often discovered incidentally either upon echocardiography or invasive cardiovascular procedures. In total, less than 50 known cases have been reported since first being discovered over 30 years ago...

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Main Authors: Jason R. Stuck, Amgad N. Makaryus
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/8285304
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author Jason R. Stuck
Amgad N. Makaryus
author_facet Jason R. Stuck
Amgad N. Makaryus
author_sort Jason R. Stuck
collection DOAJ
description Mesothelial/monocytic incidental cardiac excrescences (cardiac MICE) are a rare finding that are most often discovered incidentally either upon echocardiography or invasive cardiovascular procedures. In total, less than 50 known cases have been reported since first being discovered over 30 years ago. They are typically benign lesions; however, there has been a reported case of cardiac MICE being responsible for severe cardiopulmonary compromise and another case of the lesion embolizing leading to cerebral infarctions and ultimately death. Cardiac papillary fibroelastomas are also uncommon lesions found in the heart though they are not as rare as cardiac MICE. They are also benign and are typically attached to valvular surfaces; however, they also can be found as mobile masses. Just as cardiac MICE, they are capable of causing turbulent flow and thrombus formation and have been reported as the cause of ischemic events due to their ability to embolize. We present a case of cardiac MICE and cardiac papillary fibroelastoma in an individual who initially presented with neurologic symptoms concerning for a cerebrovascular accident. The patient was found to have a left ventricular mass composed of both cardiac MICE and cardiac papillary fibroelastomas.
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spelling doaj-art-5c36640abfd14b31bb20ac7debcb132d2025-08-20T02:05:42ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/82853048285304Cardiac Excrescences of Unusual OriginJason R. Stuck0Amgad N. Makaryus1PinnacleHealth CardioVascular Institute, 1000 North Front Street, Wormleysburg, PA 17043, USADonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Cardiology, North Shore University Hospital, 300 Community Drive, Manhasset, NY 11030, USAMesothelial/monocytic incidental cardiac excrescences (cardiac MICE) are a rare finding that are most often discovered incidentally either upon echocardiography or invasive cardiovascular procedures. In total, less than 50 known cases have been reported since first being discovered over 30 years ago. They are typically benign lesions; however, there has been a reported case of cardiac MICE being responsible for severe cardiopulmonary compromise and another case of the lesion embolizing leading to cerebral infarctions and ultimately death. Cardiac papillary fibroelastomas are also uncommon lesions found in the heart though they are not as rare as cardiac MICE. They are also benign and are typically attached to valvular surfaces; however, they also can be found as mobile masses. Just as cardiac MICE, they are capable of causing turbulent flow and thrombus formation and have been reported as the cause of ischemic events due to their ability to embolize. We present a case of cardiac MICE and cardiac papillary fibroelastoma in an individual who initially presented with neurologic symptoms concerning for a cerebrovascular accident. The patient was found to have a left ventricular mass composed of both cardiac MICE and cardiac papillary fibroelastomas.http://dx.doi.org/10.1155/2019/8285304
spellingShingle Jason R. Stuck
Amgad N. Makaryus
Cardiac Excrescences of Unusual Origin
Case Reports in Cardiology
title Cardiac Excrescences of Unusual Origin
title_full Cardiac Excrescences of Unusual Origin
title_fullStr Cardiac Excrescences of Unusual Origin
title_full_unstemmed Cardiac Excrescences of Unusual Origin
title_short Cardiac Excrescences of Unusual Origin
title_sort cardiac excrescences of unusual origin
url http://dx.doi.org/10.1155/2019/8285304
work_keys_str_mv AT jasonrstuck cardiacexcrescencesofunusualorigin
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