Congenital tricuspid valve blood cyst: imaging with three-dimensional contrast echocardiography.

We describe the case of an 88-year-old woman who presented in WHO functional class III and breathless on exertion. She was investigated for pulmonary hypertension. However, two-dimensional echocardiography demonstrated a rounded mass attached to the septal leaflet of the tricuspid valve. Real-time three-dimensional echocardiography with contrast microbubbles was the imaging modality of choice to characterise the cyst and to guide the decision as to the best therapeutic approach for the patient.