# An uncommon and challenging finding regarding the tricuspid valve: case report, clinical considerations, and practical management

## TL;DR

A rare case of a tricuspid valve aneurysm was identified in an asymptomatic patient, leading to a decision against surgical intervention.

## Contribution

The paper presents a unique case of a tricuspid valve aneurysm with distinct morphological features and management considerations.

## Key findings

- The lesion exhibited 'finger-in-glove' and 'garland-like' morphology consistent with a tricuspid valve aneurysm.
- The patient's asymptomatic status and lack of precipitating events led to the conclusion of an aseptic tricuspid valve aneurysm.
- Surgical intervention was not recommended following multidisciplinary evaluation.

## Abstract

The differential diagnosis of tricuspid masses remains challenging.

This case involves the incidental detection of a lesion with a non-solid appearance, exhibiting the characteristic ‘finger-in-glove’ and ‘garland-like’ morphology, resembling a blind-ended protrusion of the tricuspid leaflet. This presentation is consistent with a tricuspid valve aneurysm, without significant associated stenosis or regurgitation.

Given the lesion’s morphological features, the patient’s asymptomatic status, and the absence of a precipitating event suggestive of an alternative diagnosis, we concluded that the most likely diagnosis is aseptic tricuspid valve aneurysm. Following a multidisciplinary heart team discussion, surgical intervention was deemed unnecessary.