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Stiru O, Geana RC, Dragulescu PR, Tulin A, Raducu L, Bacalbasa N, Balescu I, Cretoiu D, Diaconu C, Iliescu L, Savu C, Iliescu VA. Transapical Left Ventricular Approach for Cardiac Papillary Fibroelastomas: A Case Report. In Vivo 2021; 34:3681-3685. [PMID: 33144485 DOI: 10.21873/invivo.12216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Revised: 09/07/2020] [Accepted: 09/10/2020] [Indexed: 11/10/2022]
Abstract
BACKGROUND/AIM Cardiac papillary fibroelastomas (CPF) are benign tumors, frequently asymptomatic, characterized by a mobile pedunculated mass that arises from the endocardium. When CPF is located in the left ventricle, it may protrude into the left ventricular outflow tract and affect hemodynamics. They are highly thrombogenic, and can also cause some life-threatening events such as cerebral and peripheral embolization. CASE REPORT We herein report a case of a 74-year-old female admitted to our center with palpitations and dyspnea on exertion. Her past medical history revealed that she had had a transient ischemic attack 7 months before presentation. Echocardiography and cardiac magnetic resonance imaging revealed an intracardiac mass anchored in the anteroapical interventricular septum without interference with aortic or mitral valve functionality. Surgical resection of the left ventricular mass was performed through the left apical ventriculotomy approach. Histopathological examination of the tumor was suggestive of papillary fibroelastoma. The postoperative course was uneventful. The patient was discharged home on the eighth postoperative day, with no recurrence at 6 months. CONCLUSION Although left ventricular papillary fibroelastomas are benign tumors, they carry a high risk for embolic complications and therefore surgery should be proposed, the transapical approach being a safe and effective method.
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Affiliation(s)
- Ovidiu Stiru
- Prof. Dr. C. C. Iliescu Emergency Institute for Cardiovascular Diseases, Bucharest, Romania.,Department of Cardio-Thoracic Pathology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Roxana Carmen Geana
- Prof. Dr. C. C. Iliescu Emergency Institute for Cardiovascular Diseases, Bucharest, Romania
| | | | - Adrian Tulin
- Department of Anatomy, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.,Department of General Surgery, Prof. Dr. Agripa Ionescu, Clinical Emergency Hospital, Bucharest, Romania
| | - Laura Raducu
- Department of Plastic and Reconstructive Microsurgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.,Department of Plastic and Reconstructive Surgery, Prof Dr. Agripa Ionescu, Clinical Emergency Hospital, Bucharest, Romania
| | - Nicolae Bacalbasa
- Department of Obstetrics and Gynecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania .,Department of Obstetrics and Gynecology, I. Cantacuzino Clinical Hospital, Bucharest, Romania.,Department of Visceral Surgery, Center of Excellence in Translational Medicine, Fundeni Clinical Institute, Bucharest, Romania
| | - Irina Balescu
- Department of Surgery, Ponderas Academic Hospital, Bucharest, Romania
| | - Dragos Cretoiu
- Department of Cellular, Molecular and Histology Biology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.,Scientific researcher, Alessandrescu-Rusescu National Institute of Mother and Child Health, Fetal Medicine Excellence Research Center, Bucharest, Romania
| | - Camelia Diaconu
- Department of Internal Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.,Department of Internal Medicine, Clinical Emergency Hospital of Bucharest, Bucharest, Romania
| | - Laura Iliescu
- Department of Internal Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.,Department of Internal Medicine, Fundeni Clinical Institute, Bucharest, Romania
| | - Cornel Savu
- Department of Cardio-Thoracic Pathology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.,Department of Thoracic Surgery, Marius Nasta Institute of Pneumonology, Bucharest, Romania
| | - Vlad Anton Iliescu
- Prof. Dr. C. C. Iliescu Emergency Institute for Cardiovascular Diseases, Bucharest, Romania.,Department of Cardio-Thoracic Pathology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
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Almeida FS, Canevazzi GJ, Rocha PB, Sobral ACCM, Sobral MLP. Tumoration in Anterior Leaflet of the Mitral Valve. Braz J Cardiovasc Surg 2021; 36:116-119. [PMID: 33594865 PMCID: PMC7918378 DOI: 10.21470/1678-9741-2020-0557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Affiliation(s)
| | | | - Priscila Barão Rocha
- Faculdade de Medicina, Centro Universitário das Américas, São Paulo, São Paulo, Brazil
| | | | - Marcelo Luiz Peixoto Sobral
- Faculdade de Medicina, Centro Universitário das Américas, São Paulo, São Paulo, Brazil.,Departament of Cardiovascular Surgery, Hospital Beneficência Portuguesa de São Paulo, São Paulo, São Paulo, Brazil.,Post Graduate Department of Cardiovascular and Thoracic Surgery, Universidade de São Paulo, Instituto do Coração, São Paulo, São Paulo, Brazil
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Cardiac fibroelastoma: a rare cause of stroke in young adults. Case Rep Cardiol 2013; 2013:250808. [PMID: 24826279 PMCID: PMC4007804 DOI: 10.1155/2013/250808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2013] [Accepted: 04/03/2013] [Indexed: 11/25/2022] Open
Abstract
A 26-year-old man presenting with a transient episode of dysarthria and dizziness, 3 weeks prior to admission, was referred to our center to be evaluated for transient ischemic attack (TIA). The patient had been previously admitted to a different hospital and echocardiography was reported normal at that center, but upon presenting to our institution strand-like masses in the left ventricle (LV) were detected. Transesophageal echocardiography (TEE) revealed two distinct mobile LV masses suggesting a diagnosis of papillary fibroelastoma. CT angiography and histopathological studies confirmed this diagnosis.
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