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Diagnosing Mitral Valve Fibroelastoma via Echocardiogram

Patient: A 53-year-old male patient with no previous medical history presented to the ER with TIA symptoms.

Initial Examination: An echocardiogram was requested to exclude cardiac causes of embolization.

Kosmos POCUS Examination: Bedside cardiac examination with KOSMOS demonstrated bi-leaflet prolapse of the mitral valve with moderate regurgitation. Closer inspection of the valve revealed a small mobile mass on the anterior mitral valve leaflet which later proved to be a fibroelastoma (infective and non-bacterial thrombotic endocarditis were excluded with lab testing and the patient was taken for surgery).

PLAX view showing bi-leaflet mitral valve prolapse

PLAX view zoomed in the MV, revealing a small mobile mass on the anterior mitral valve leaflet

PLAX view with color Doppler on the MV showing moderate mitral regurgitation

PSAX view at the level of the MV showing the small mobile mass on the anterior mitral valve leaflet

A4C view showing normal LV systolic function and the small mass on the anterior mitral valve leaflet

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