CARDIAC PAPILLARY FIBROELASTOMA: A CASE WITH UNPRECEDENTED SPREAD
Keywords:cardiac masses, cardiac magnetic resonance, multiple papillary fibroelastomas, echocardiography, imaging
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.
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.
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