CARDIAC PAPILLARY FIBROELASTOMA: A CASE WITH UNPRECEDENTED SPREAD

Authors

  • João Lopes Cardoso Department of Cardiothoracic Surgery, Coimbra Hospital and University Centre, Coimbra, Portugal https://orcid.org/0000-0002-4037-0968
  • Carolina Saleiro Department of Cardiology, Coimbra Hospital and University Centre, Coimbra, Portugal
  • Ana Botelho Department of Cardiology, Coimbra Hospital and University Centre, Coimbra, Portugal
  • Pedro E. Antunes Department of Cardiothoracic Surgery, Coimbra Hospital and University Centre, Coimbra, Portugal
  • Lino Gonçalves Department of Cardiology, Coimbra Hospital and University Centre, Coimbra, Portugal

DOI:

https://doi.org/10.48729/pjctvs.181

Keywords:

cardiac masses, cardiac magnetic resonance, multiple papillary fibroelastomas, echocardiography, imaging

Abstract

Introduction: Papillary fibroelastomas (PFE) are a rare primary cardiac neoplasm, out of which multifocal PFE constitute a small minority of cases. These benign masses are commonly found on valvular surfaces, particularly the aortic valve.

Clinical case: We present a patient with a history of embolic stroke and intra-cardiac masses. Multimodal imaging revealed multiple nodules with extensive intra-cardiac distribution. All nodules were successfully removed without valve dysfunction.

Conclusion: This is a unique case of multiple PFE involving intracardiac cavities as well as all valvular structures.

Downloads

Download data is not yet available.

References

Butany J, Nair V, Naseemuddin A, Nair GM, Catton C, Yau T. Cardiac tumours: Diagnosis and management. The Lancet Oncology. 2005;6(4):219–28.

Tsugu T, Nagatomo Y, Endo J, Kawakami T, Murata M, Yamazaki M, et al. Multiple papillary fibroelastomas attached to left ventricular side and aortic side of the aortic valve: A report of new case and literature review. Echocardiography. 2019;36(6):1194–9.

Ngaage DL, Mullany CJ, Daly RC, Dearani JA, Edwards WD, Tazelaar HD, et al. Surgical treatment of cardiac papillary fibroelastoma: A single center experience with eighty-eight patients. The Annals of Thoracic Surgery. 2005;80(5):1712–8.

Ando M, Kise Y, Maeda T, Inafuku H, Yamashiro S, Kuniyoshi Y. Multiple Papillary Fibroelastomas Involving All Four Heart Valves. Japanese J Cardiovasc Surg. 2019;48(4):245–9.

Sato M, Nagaya K, Hatakeyama M, Komatsu T. Multiple papillary fibroelastoma: Report of a case and implications for management. General Thoracic and Cardiovascular Surgery. 2013;62(2):122–4.

Downloads

Published

11-04-2022

How to Cite

1.
Lopes Cardoso J, Saleiro C, Botelho A, E. Antunes P, Gonçalves L. CARDIAC PAPILLARY FIBROELASTOMA: A CASE WITH UNPRECEDENTED SPREAD. Rev Port Cir Cardiotorac Vasc [Internet]. 2022 Apr. 11 [cited 2024 Nov. 21];29(1):53-6. Available from: https://pjctvs.com/index.php/journal/article/view/181

Issue

Section

Clinical Cases

Categories