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Tumors of the cardiovascular system: heart and blood vessels. Cardiovasc Pathol 2022. [DOI: 10.1016/b978-0-12-822224-9.00015-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Fatehi Hassanabad A, El Idrissi KR, Kent WDT. Right anterior minithoracotomy approach for resection of papillary fibroelastoma. J Card Surg 2020; 35:1729-1731. [PMID: 32485064 DOI: 10.1111/jocs.14674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Right anterior minithoracotomy (RAMT) is an alternative to full or partial sternotomy for accessing the aortic valve. The adoption of this approach for aortic valve replacement has been limited by its perceived technical complexity. Resection of a mobile aortic valve tumor is a simple procedure that is conventionally done through a sternotomy. AIM The following case describes the resection of an aortic valve papillary fibroelastoma through an RAMT. MATERIALS & METHODS This is a report on a single patient's case. RESULTS The fibroelastoma was safely excised through a RAMT approach. DISCUSSION An aortic valve fibroelastoma offers an ideal starting point for surgeons to begin using a RAMT approach. CONCLUSION The excision of aortic valve masses is a procedure that is well suited to minimally invasive strategies, and we suggest sternum-sparing RAMT is the optimal approach.
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Affiliation(s)
- Ali Fatehi Hassanabad
- Division of Cardiac Surgery, Cumming School of Medicine, Libin Cardiovascular Institute, Calgary, Canada
| | - Kenza R El Idrissi
- Undergraduate Medical Education, Faculty of Medicine, McGill University, Montreal, Canada
| | - William D T Kent
- Division of Cardiac Surgery, Cumming School of Medicine, Libin Cardiovascular Institute, Calgary, Canada
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de Klerk S, Dogon C, Grossman M, Adler JE, McFalls J, Furukawa S, Goldberg S. Left Ventricular Papillary Fibroelastoma Presenting with Dyspnea on Exertion. ACTA ACUST UNITED AC 2020; 4:278-282. [PMID: 32875195 PMCID: PMC7451855 DOI: 10.1016/j.case.2019.12.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
A patient presented with reduced effort tolerance and abnormal stress test. He was subsequently found to have a left ventricular mass. Multimodal imaging was utilized; however, diagnostic certainty remained limited. Cardiac surgery was pursued, wherein a single left ventricular mass was resected. Biopsy was consistent with cardiac papillary fibroelastoma. On follow-up, the patient reported a return to prior functioning.
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Affiliation(s)
- Storm de Klerk
- Department of Internal Medicine, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, Pennsylvania
| | - Calli Dogon
- Department of Internal Medicine, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, Pennsylvania
| | - Moshe Grossman
- Department of Radiology, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, Pennsylvania
| | - Jeremy E Adler
- Department of Pathology, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, Pennsylvania
| | - Jeanne McFalls
- Department of Pathology, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, Pennsylvania
| | - Satoshi Furukawa
- Cardiovascular Surgery, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, Pennsylvania
| | - Sheldon Goldberg
- Cardiovascular Education, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, Pennsylvania
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Topal B, Hindori V, Pouwels S, Riezebos R. The Right Anterior Thoracotomy Approach to Resect a Cardiac Papillary Fibroelastoma of the Aortic Valve. Cureus 2020; 12:e7136. [PMID: 32257681 PMCID: PMC7105234 DOI: 10.7759/cureus.7136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
A cardiac papillary fibroelastoma (CPFE) is reported to be the second most common cardiac neoplasm after myxoma cordis. CPFEs are histologically benign, frequently asymptomatic, but highly thrombogenic, which could lead to systemic and peripheral embolization. We present a case of a 68-year-old-patient, with a history of angioosteohypertrophy syndrome, who presented at our emergency department (ED) with symptoms of transient ischemic attacks. A thorough investigation, including echocardiography, revealed a neoplasm on the left coronary cusp (LCC) of the aortic valve. The neoplasm was resected via a valve-sparing shave via the right anterior thoracotomy (RAT). The pathological assessment confirmed it to be CPFE. CPFE is a rare but treatable cause of thromboembolism. The removal of CPFEs has classically been performed through a full median sternotomy. We like to present the first case of a valve-sparing removal of a CPFE on the aortic valve through a RAT approach.
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Affiliation(s)
- Besir Topal
- Cardiothoracic Surgery, Onze Lieve Vrouwe Gasthuis (OLVG), Amsterdam, NLD
| | - Vikash Hindori
- Cardiothoracic Surgery, Onze Lieve Vrouwe Gasthuis (OLVG), Amsterdam, NLD
| | | | - Robert Riezebos
- Cardiology, Onze Lieve Vrouwe Gasthuis (OLVG), Amsterdam, NLD
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Nowacka A, Rancati V, Roumy A, Monney P, Marcucci CE, Kirsch M. Multiple Cardiac Papillary Fibroelastomas - Are They Really Rare or Underdiagnosed? Heart Lung Circ 2018; 28:e83-e85. [PMID: 30415831 DOI: 10.1016/j.hlc.2018.08.020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2018] [Accepted: 08/29/2018] [Indexed: 11/18/2022]
Affiliation(s)
- Anna Nowacka
- Department of Cardiac Surgery, University Hospital, Lausanne, Switzerland.
| | - Valentina Rancati
- Department of Cardiology, University Hospital, Lausanne, Switzerland
| | - Aurelien Roumy
- Department of Cardiac Surgery, University Hospital, Lausanne, Switzerland
| | - Pierre Monney
- Department of Cardiology, University Hospital, Lausanne, Switzerland
| | - Carlo E Marcucci
- Department of Anesthesiology, University Hospital, Lausanne, Switzerland
| | - Matthias Kirsch
- Department of Cardiac Surgery, University Hospital, Lausanne, Switzerland
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Crean J, Clinton A, Afredi N, Dougherty M, Jeganathan R. Fibroelastoma of the mitral valve apparatus. J Card Surg 2018; 33:442-443. [PMID: 29971830 DOI: 10.1111/jocs.13748] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Jonathan Crean
- Department of Cardiac Surgery, Royal Victoria Hospital, Belfast, Northern Ireland
| | - Aoibhinn Clinton
- Department of Histopathology, Royal Victoria Hospital, Belfast, Northern Ireland
| | - Nasir Afredi
- Department of Cardiac Surgery, Royal Victoria Hospital, Belfast, Northern Ireland
| | - Mark Dougherty
- Department of Cardiac Surgery, Royal Victoria Hospital, Belfast, Northern Ireland
| | - Reuben Jeganathan
- Department of Cardiac Surgery, Royal Victoria Hospital, Belfast, Northern Ireland
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Mignogna C, Amorosi A, Mastroroberto P. Sea Anemone Tumor: Macroscopic Diagnosis of Cardiac Papillary Fibroelastoma. Int J Surg Pathol 2018; 27:185-186. [PMID: 29781360 DOI: 10.1177/1066896918775526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Chiara Mignogna
- 1 University Magna Graecia of Catanzaro, Germaneto, Catanzaro, Italy
| | - Andrea Amorosi
- 1 University Magna Graecia of Catanzaro, Germaneto, Catanzaro, Italy
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Tanaka Y, Kitamura T, Kobayashi K, Ohtomo Y, Miyaji K. Papillary fibroelastoma of the left ventricular apex excised using a videoscopic technique. J Card Surg 2018; 33:277-279. [DOI: 10.1111/jocs.13603] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Yuki Tanaka
- Department of Cardiovascular Surgery; Kitasato University School of Medicine; Sagamihara Japan
| | - Tadashi Kitamura
- Department of Cardiovascular Surgery; Kitasato University School of Medicine; Sagamihara Japan
| | - Kensuke Kobayashi
- Department of Cardiovascular Surgery; Kitasato University School of Medicine; Sagamihara Japan
| | - Yuki Ohtomo
- Department of Cardiovascular Surgery; Kitasato University School of Medicine; Sagamihara Japan
| | - Kagami Miyaji
- Department of Cardiovascular Surgery; Kitasato University School of Medicine; Sagamihara Japan
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Page S, Grant R, Iyer A. Cardiac papillary fibroelastoma originating from the left ventricular septum. J Card Surg 2018; 33:181-182. [PMID: 29635797 DOI: 10.1111/jocs.13569] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Sarah Page
- Department of Cardiothoracic Surgery, The Townsville Hospital, Townsville, Australia
| | - Robert Grant
- Department of Cardiothoracic Surgery, The Townsville Hospital, Townsville, Australia
| | - Anand Iyer
- Department of Cardiothoracic Surgery, The Townsville Hospital, Townsville, Australia
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McCanny A, Imran Hamid U, Carroll S, Jeganathan R. Fibroelastoma of the aortic valve. J Card Surg 2017; 32:698-699. [PMID: 29152788 DOI: 10.1111/jocs.13232] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Andrew McCanny
- Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, UK
| | - Umar Imran Hamid
- Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, UK
| | - Stephen Carroll
- Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, UK
| | - Reuben Jeganathan
- Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, UK
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