Assessment of Papillary Fibroelastomas with Live Three-Dimensional Transthoracic Echocardiography

Pulmonary Fibroelastoma: A Rare Cardiac Mass Presenting With Dyspnea

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PFEs are rare primary cardiac tumors.

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Their presentation is often associated with embolic sequalae.

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CMR has proven to be an invaluable tool in the diagnosis of cardiac masses.

Cardiac Papillary Fibroelastoma: Pulmonic Valve Involvement With Pulmonary Embolism and Pulmonary Hypertension

Papillary fibroelastomas are rarely seen tumors of the cardiac valves. We present a case of papillary fibroelastoma present on the pulmonic valve. Diagnosis was made by characteristic echocardiogram findings. Complications of pulmonary embolism and pulmonary hypertension were present. Due to contraindications, the patient was managed with anticoagulation instead of surgery. 

Left Ventricular Papillary Fibroelastoma Presenting with Dyspnea on Exertion

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A patient presented with reduced effort tolerance and abnormal stress test.

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He was subsequently found to have a left ventricular mass.

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Multimodal imaging was utilized; however, diagnostic certainty remained limited.

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Cardiac surgery was pursued, wherein a single left ventricular mass was resected.

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Biopsy was consistent with cardiac papillary fibroelastoma.

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On follow-up, the patient reported a return to prior functioning.

Papillary fibroelastoma diagnosed through multimodality cardiac imaging: a rare tumour in an uncommon location with review of literature

We describe the case of a woman presenting with transient ischaemic attack, who was found to have a papillary fibroelastoma arising from the aortic wall, an extremely rare location. We describe the multimodality imaging techniques used in diagnosing this patient and review the most recent literature on evaluation and management of patients with cardiac papillary fibroelastomas.

Multiple papillary fibroelastomas of the aortic valve detected by real time three-dimensional transesophageal echocardiographic images

Papillary fibroelastoma (PFE) is a well-known primary cardiac tumor, but multiple PFEs are rare. We report an interesting case with multiple PFEs that were clearly demonstrated and evaluated with real time three-dimensional (RT3D) transesophageal echocardiography (TEE). A 77-year-old woman was referred to our institution with a diagnosis of osteoarthritis of the hip. Transthoracic echocardiography showed an abnormal structure on the aortic valve. Although two-dimensional TEE revealed typical characteristics of multiple PFE, RT3D TEE clearly demonstrated their number and location on the right and non-coronary cusp of the aortic valve. These results were subsequently confirmed by surgery and pathological findings. RT3D TEE is an exceptionally useful tool for pre-surgical evaluation of PFE. <Learning objective: PFE is a well-known primary cardiac tumor, but multiple PFEs are rare. We report an interesting case with multiple PFEs that was clearly demonstrated and evaluated with RT3D TEE. RT3D TEE is an exceptionally useful tool for pre-surgical evaluation of PFE.>.