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.

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References

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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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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 2022 May 22];29(1):53-6. Available from: https://pjctvs.com/index.php/journal/article/view/181

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Clinical Cases

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