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Kim KH, Kim YK, Hwang WJ, Seo YH, Kwon TG, Park MH, Kim JH, Bae JH. A Rare Case of Stroke in a 76-Year-Old Woman: Left Atrial Papillary Fibroelastoma as the Culprit. AMERICAN JOURNAL OF CASE REPORTS 2024; 25:e943568. [PMID: 38909277 DOI: 10.12659/ajcr.943568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/24/2024]
Abstract
BACKGROUND Papillary fibroelastoma is the most common type of benign primary cardiac tumor and is usually asymptomatic. However, tumor fragments or surface thrombus can embolize and cause transient ischemic attacks, strokes, or myocardial infarction. This report describes a 76-year-old woman who presented with dysarthria and right-sided weakness due to a stroke associated with a left atrial papillary fibroelastoma. CASE REPORT A 76-year-old woman visited the Emergency Department because she had right-sided weakness and dysarthria from 12 h ago. Brain magnetic resonance image was done at the Emergency Department, showing multiple small embolic, acute infarction in left basal ganglia and fronto-temporo-parietal lobes. Transthoracic and transesophageal echocardiogram showed a hypermobile echogenic mass (0.8×1.5 cm) with villous surface on the orifice of left atrial appendage. Twenty-four-hour Holter monitoring was performed to evaluate the cause of cerebral infarction, and there was no paroxysmal atrial fibrillation. Thoracic computed tomography angiography also showed a sea anemone-shaped mass around the left atrial appendage. Cardiac tumor excision was done via a lower partial sternotomy. Histopathologic analysis showed multiple delicate fronds, and the avascular fibroelastic cores were lined by a single layer of CD31-positive endothelial cells. Histopathologic findings were consistent with papillary fibroelastoma. The patient was discharged without any other complications on day 30 of hospitalization. CONCLUSIONS This case highlights the importance of cardiac imaging in patients with acute stroke, including transthoracic and transesophageal echocardiography, which can show the typical imaging features of papillary fibroelastoma and other intracardiac sources of embolus.
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Affiliation(s)
- Ki-Hong Kim
- Division of Cardiology, Cardiocerebrovascular Center, Konyang University Hospital, Daejeon, South Korea
| | - Yong Kyun Kim
- Division of Cardiology, Cardiocerebrovascular Center, Konyang University Hospital, Daejeon, South Korea
| | - Wan Jin Hwang
- Department of Thoracic and Cardiovascular Surgery, Cardiocerebrovascular Center, Konyang University Hospital, Daejeon, South Korea
| | - Young Hoon Seo
- Division of Cardiology, Cardiocerebrovascular Center, Konyang University Hospital, Daejeon, South Korea
| | - Taek-Geun Kwon
- Division of Cardiology, Cardiocerebrovascular Center, Konyang University Hospital, Daejeon, South Korea
| | - Moon Hyang Park
- Department of Pathology, Konyang University Hospital, Daejeon, South Korea
| | - Jae Hyun Kim
- Department of Thoracic and Cardiovascular Surgery, Cardiocerebrovascular Center, Konyang University Hospital, Daejeon, South Korea
| | - Jang-Ho Bae
- Division of Cardiology, Cardiocerebrovascular Center, Konyang University Hospital, Daejeon, South Korea
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Khezerlouy Aghdam N, Delkhah M, Danayi S, Sobhi N. Rheumatic heart disease of the mitral valve alongside the papillary fibroelastoma of the aortic valve: A case report. Clin Case Rep 2024; 12:e8845. [PMID: 38689685 PMCID: PMC11060882 DOI: 10.1002/ccr3.8845] [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] [Received: 10/30/2023] [Revised: 03/07/2024] [Accepted: 03/27/2024] [Indexed: 05/02/2024] Open
Abstract
Key Clinical Message Besides thromboses, it's crucial to also consider the rare possibility of tumors like papillary fibroelastomas when evaluating worsening cardiopulmonary symptoms in patients with severe rheumatic mitral stenosis and atrial fibrillation. Abstract Cardiac papillary fibroelastoma is a rare and benign endocardial tumor typically found on the aortic valve. The simultaneous occurrence of rheumatic heart disease affecting the mitral valve and papillary fibroelastoma on the aortic valve is infrequent, with limited documented instances. This unique case can enhance our understanding of the clinical presentation, diagnostic approaches, management options, and implications for patient outcomes in these two conditions. We present the case of a 47-year-old woman who was admitted to the hospital due to worsening dyspnea and fatigue, during which time she discovered an aortic valve papillary fibroelastoma. Further investigations revealed two thrombi in her left atrium and left atrial appendage, along with significant rheumatic mitral valve stenosis. The patient underwent thrombectomy, mitral valve replacement, and valve-sparing aortic valve tumor resection. Following surgery, the patient's recovery was unremarkable. This case report emphasizes the need for a comprehensive evaluation in patients with rheumatic mitral stenosis, considering all possible etiologies. While thrombi are typical in mitral stenosis and atrial fibrillation, the rare presence of tumors like papillary fibroelastomas should be recognized, underscoring the importance of further assessment when suspicion arises. Importantly, individuals with asymptomatic cardiac papillary fibroelastomas should undergo surgical treatment to minimize the potential risk of tumoral embolization.
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Affiliation(s)
| | - Mitra Delkhah
- Cardiovascular Research CenterTabriz University of Medical ScienceTabrizIran
| | - Saeid Danayi
- Cardiovascular Research CenterTabriz University of Medical ScienceTabrizIran
| | - Navid Sobhi
- Research Center for Evidence‐Based MedicineIranian EBM Centre: A Joanna Briggs Institute Affiliated Group, Tabriz University of Medical SciencesTabrizIran
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Mathavan A, Mathavan A, Krekora U, Mathavan M, Rodriguez V, Altshuler E, Nguyen B, Ruzieh M. Clinical presentation and neurovascular manifestations of cardiac myxomas and papillary fibroelastomas: a retrospective single-institution cohort study. Front Cardiovasc Med 2023; 10:1222179. [PMID: 37719971 PMCID: PMC10503431 DOI: 10.3389/fcvm.2023.1222179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Accepted: 08/11/2023] [Indexed: 09/19/2023] Open
Abstract
Background Primary cardiac tumors are often benign and commonly present as cardiac myxomas (CMs) or papillary fibroelastomas (CPFEs). There is a paucity of prognostic indicators for tumor burden or potential for embolic cerebrovascular events (CVEs). This study was performed to address these gaps. Methods Medical records at the University of Florida Health Shands Hospital between 1996 and 2021 were screened to identify patients with CMs or CPFEs. Clinical features, echocardiographic reports, and CVE outcomes were quantitatively assessed. Results A total of 55 patients were included in the study: 28 CM (50.9%) and 27 CPFE (49.1%) patients. Baseline patient characteristics were similar among patients. The neutrophil-lymphocyte ratio was correlated (p < 0.005 in all cases) to three metrics of tumor size in both CM (r = 64-67%) and CPFE (r = 56-59%). CVEs were the presenting symptom in 30 (54.5%) patients. CVE recurrence was high; the 5-year CVE recurrence rate in patients with tumor resection was 24.0% compared to 60.0% without resection. No baseline patient characteristics or tumor features were associated with an initial presentation of CVEs compared to any other indication. Univariate analysis indicated that prolonged duration to surgical resection, left atrial enlargement, male sex, and a neutrophil-lymphocyte ratio >3.0 at the follow-up were significantly associated with 5-year CVE recurrence. Left atrial enlargement and a neutrophil-lymphocyte ratio >3.0 at the follow-up remained significantly associated with 5-year CVE recurrence in multivariate analysis. Conclusion The neutrophil-lymphocyte ratio may prognosticate tumor size and recurrence of neurologic events. An increased risk of CVE within 5 years of mass resection is almost exclusive to patients initially presenting with CVEs.
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Affiliation(s)
- Akshay Mathavan
- Department of Internal Medicine, University of Florida, Gainesville, FL, United States
| | - Akash Mathavan
- Department of Internal Medicine, University of Florida, Gainesville, FL, United States
| | - Urszula Krekora
- University of Central Florida College of Medicine, University of Central Florida, Orlando, FL, United States
| | - Mohit Mathavan
- Department of Family Medicine, Ocala Hospital, Ocala, FL, United States
| | - Vanessa Rodriguez
- Department of Internal Medicine, University of South Florida, Tampa, FL, United States
| | - Ellery Altshuler
- Department of Internal Medicine, University of Florida, Gainesville, FL, United States
| | - Brianna Nguyen
- University of Florida College of Medicine, University of Florida, Gainesville, FL, United States
| | - Mohammed Ruzieh
- Division of Cardiovascular Medicine, University of Florida, Gainesville, FL, United States
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Techasatian W, Maan G, Morihara C, Pham A, Benavente K, Nagamine T, Nishimura Y. Hamartoma of Mature Cardiac Myocytes: Systematic Review. Cardiovasc Pathol 2023; 65:107538. [PMID: 37031829 DOI: 10.1016/j.carpath.2023.107538] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Accepted: 03/30/2023] [Indexed: 04/11/2023] Open
Abstract
BACKGROUND While primary cardiac tumors are rare, it has been increasingly recognized due to improvement in screening measures. However, the hamartoma of mature cardiac myocytes has been underrecognized compared to other cardiac tumors, such as cardiac myxomas and papillary fibroelastomas, and is still potentially associated with critical consequences such as sudden death. This systematic review aims to summarize the evidence regarding the hamartoma of mature cardiac myocytes and characterize the presentations and symptoms for clinicians. METHODS Following the PRISMA statement, we searched MEDLINE and EMBASE for all peer-reviewed articles using keywords including "hamartoma of mature cardiac myocytes" from their inception to January 2nd, 2023. RESULTS We included 25 articles, including 34 cases, in this systematic review. Patients with hamartoma of mature cardiac myocytes commonly presented with nonspecific symptoms such as dyspnea (35.3%), although a few presented with sudden death and syncope. The left ventricle was the common site of origin (41.2%), followed by the right atrium and ventricle. Surgery was commonly pursued for diagnosis and treatment, while a few required cardiac transplants (8.8%), and 29.4% were diagnosed with autopsy or expired. CONCLUSION Hamartoma of mature cardiac myocytes is a potentially underrecognized primary cardiac tumor associated with treatable yet potentially critical consequences. Given the challenges of differentiating it from malignancy such as angiosarcoma, multimodal imaging needs to be utilized to pursue a diagnosis. Future studies are warranted to develop a noninvasive diagnosis mode for cardiac tumor.
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Affiliation(s)
- Witina Techasatian
- Department of Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, 96813, USA
| | - Gozun Maan
- Department of Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, 96813, USA
| | - Clarke Morihara
- Department of Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, 96813, USA
| | - Andrew Pham
- Department of Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, 96813, USA
| | - Kevin Benavente
- Department of Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, 96813, USA
| | - Todd Nagamine
- Department of Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, 96813, USA
| | - Yoshito Nishimura
- Department of Medicine, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, 96813, USA.
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Taylor J, Assaf A, Assaf M, Assaf S, Shepple B, Kassira A. Pulmonary Fibroelastoma: A Rare Cardiac Mass Presenting With Dyspnea. CASE (PHILADELPHIA, PA.) 2022; 7:81-85. [PMID: 36861095 PMCID: PMC9968907 DOI: 10.1016/j.case.2022.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PFEs are rare primary cardiac tumors. Their presentation is often associated with embolic sequalae. CMR has proven to be an invaluable tool in the diagnosis of cardiac masses.
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Affiliation(s)
- John Taylor
- Department of Medicine, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee,Correspondence: John Taylor, DO, Cardiovascular Disease Fellow, University of Tennessee Graduate School of Medicine, 1940 Alcoa Highway, Suite E-310, Knoxville, TN 37920.
| | - Abdallah Assaf
- Department of Medicine, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee
| | - Muaz Assaf
- Department of Medicine, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee
| | - Sohiub Assaf
- Department of Medicine, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee
| | - Benjamin Shepple
- Department of Medicine, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee,Heart Lung Vascular Institute, University of Tennessee Medical Center, Knoxville, Tennessee
| | - Anne Kassira
- Department of Medicine, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee,Heart Lung Vascular Institute, University of Tennessee Medical Center, Knoxville, Tennessee
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Uehara H, Uchiyama M, Hori T, Iida M, Imazuru T, Shimokawa T. Surgical treatment of papillary fibroelastoma of the pulmonary valve: a case report. J Cardiothorac Surg 2022; 17:149. [PMID: 35681148 PMCID: PMC9185924 DOI: 10.1186/s13019-022-01909-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 05/19/2022] [Indexed: 11/10/2022] Open
Abstract
Background Cardiac papillary fibroelastoma (PFE) is a rare tumor, and especially rare when found on the pulmonary valve. Case presentation We report the case of a 70-year-old woman patient with a pulmonary valve PFE diagnosed incidentally during a follow-up of aortic regurgitation. Computed tomography and magnetic resonance imaging showed no suggestive signs of malignant tumors, and thrombus or myxoma was initially suspected. However, an initial transthoracic and transesophageal echocardiogram did not exclude the possibility of a malignant tumor attached to the wall of the pulmonary artery. Considering the embolization risk, we opted to perform tumorectomy, in which additional surgical procedures could then be conducted if intraoperative diagnosis showed a malignant tumor. Indeed, intraoperative findings showed the tumoral mass attached on the left semilunar cusp of the pulmonary valve, and intraoperative diagnosis of the tumor showed no malignancy. Planned tumorectomy was performed concomitantly with AVR. The pathologic examination of the removed tumor confirmed the diagnosis of PFE. Her postoperative course was uneventful without any sign of recurrence. Conclusion This case highlights the difficulty of accurate diagnostic imaging and provides valuable insight into a successful surgical treatment of pulmonary valve PFE without any complications.
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Affiliation(s)
- Hiroo Uehara
- Department of Cardiovascular Surgery, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan
| | - Masateru Uchiyama
- Department of Cardiovascular Surgery, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan.
| | - Takayuki Hori
- Department of Cardiovascular Surgery, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan
| | - Mitsuru Iida
- Department of Cardiovascular Surgery, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan.,Department of Cardiovascular Surgery, The Cardiovascular Institute, Tokyo, Japan
| | - Tomohiro Imazuru
- Department of Cardiovascular Surgery, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan
| | - Tomoki Shimokawa
- Department of Cardiovascular Surgery, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan
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7
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Ahern S, Khan MEA, McLoughlin J, Mellerick L, Burke L, Hinchion J. A rare case of a pulmonary valve papillary fibroelastoma. J Card Surg 2020; 35:3208-3210. [PMID: 32789895 DOI: 10.1111/jocs.14944] [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: 11/28/2022]
Abstract
CASE A 67-year-old female presented with an exceedingly rare cardiac neoplasm - papillary fibroelastoma. This is made rarer still as it occurred on the pulmonary valve. The patient complained of a prolonged history of chest discomfort. Magnetic resonance imaging and echocardiography revealed a pulmonary valve papillary fibroelastoma. Surgical excision proved curative and the patient remains asymptomatic to date. DISCUSSION The literature surrounding papillary fibroelastomas is discussed. Primary cardiac tumours are uncommon. Papillary fibroelastomas occurring the right side of the heart comprise less than 0.05% of these. They have a characteristic macroscopic appearance which allow them to be easily identified with echocardiography and at surgical excision. They can present in a variety of ways including classical cardiac symptoms, embolic complications or as an incidental finding. Surgical excision is the definitive treatment.
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Affiliation(s)
- Shane Ahern
- Department of Cardiothoracic Surgery, Cork University Hospital, Wilton, Cork, Ireland
| | - Muhammad E A Khan
- Department of Cardiothoracic Surgery, Cork University Hospital, Wilton, Cork, Ireland
| | - Joseph McLoughlin
- Department of Cardiothoracic Surgery, Cork University Hospital, Wilton, Cork, Ireland
| | - Lisa Mellerick
- Department of Pathology, Cork University Hospital, Wilton, Cork, Ireland
| | - Louise Burke
- Department of Pathology, Cork University Hospital, Wilton, Cork, Ireland
| | - John Hinchion
- Department of Cardiothoracic Surgery, Cork University Hospital, Wilton, Cork, Ireland
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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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Henriques de Gouveia RHAM, Corte Real Gonçalves FMA. Sudden cardiac death and valvular pathology. Forensic Sci Res 2019; 4:280-286. [PMID: 31489394 PMCID: PMC6713097 DOI: 10.1080/20961790.2019.1595351] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Revised: 03/09/2019] [Accepted: 03/11/2019] [Indexed: 12/07/2022] Open
Abstract
Sudden death due to valvular heart disease is reported to range from 1% to 5% in native valves and around 0.2%-0.9%/year in prosthesis. The nature of the diseases is varied, from heritable, congenital to acquired. It may affect both genders in multiple age groups. The authors show and comment examples of the major nosologic aetiologies underlying unexpected exitus letalis of valvular nature.
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Affiliation(s)
- Rosa H. A. M. Henriques de Gouveia
- Forensic Clinical and Pathology Service, Central Branch of the National Institute of Legal Medicine and Forensic Sciences, Coimbra, Portugal
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Casavecchia G, Gravina M, Zicchino S, Moranti E, Cuculo A, Macarini L, Di Biase M, Brunetti ND. Tricuspid Papillary Fibroelastoma at Multimodal Imaging. J Cardiovasc Echogr 2019; 28:236-238. [PMID: 30746328 PMCID: PMC6341851 DOI: 10.4103/jcecho.jcecho_48_18] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Papillary fibroelastoma is a rare benign cardiac tumor, second after cardiac myxoma as more frequent cardiac valvular tumor. The therapy is usually based on surgery according to size, mobility, symptoms, and risks of surgery. We report the case of a 67-year old female with transient ischemic attack. Echocardiography showed the presence of a round mobile formation localized on the atrial side of septal leaflets of tricuspid valve, first identified as an endocarditis vegetation. Cardiac magnetic resonance (cMRI) confirmed the presence of the mass and showed an isointense signal in T1-turbo spin echo sequences, hypointense in cine steady-state free precession and in first-pass sequences, and hyperintense in T2 and phase-sensitive inversion recovery with central hypointense core, with a suspected diagnosis of fibroelastoma. The patient underwent cardiac surgery and histology confirmed the presence of fibroelastic tissue with papillary extroflexions compatible with diagnosis of fibroelastoma. The use of cMRI may be useful in the evaluation of the exact position, dimensions, and nature of cardiac masses and fibroelastomas, diagnostic workup, and preliminary assessment before surgery.
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Affiliation(s)
- Grazia Casavecchia
- Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
| | - Matteo Gravina
- Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
| | - Stefano Zicchino
- Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
| | | | | | - Luca Macarini
- Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
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Li T, Liu C, Luo Y, Gong S, Xiao Y, Wang X, Wang Y. Retrospective analysis of 11 cases of primary cardiac valve tumors. Anatol J Cardiol 2019; 21:11-17. [PMID: 30587716 PMCID: PMC6382897 DOI: 10.14744/anatoljcardiol.2018.40325] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/31/2018] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVE To explore the clinical features and surgical treatment experience of primary cardiac valve tumor. METHODS The present study retrospectively analyzed the clinical data of 11 patients with primary valvular tumors who underwent surgical treatment in our department from 1980 to 2016. Echocardiography of preoperative patients was indicated as a heart valve tumor. All patients underwent cardiopulmonary bypass surgery after endocardial angiography and positron emission tomography-computed tomography diagnosis, including four tumor resections-valvuloplasty and seven tumor resections-heart valve replacement. Pathological analysis was performed on all tumors. Postoperative cardiac ultrasound was followed up. Pathological analysis was performed on all tumors. All patients underwent postoperative ultrasound follow-up examination. RESULTS Primary valvular tumors are rare, accounting for only 0.034% (11/32.728) of extracorporeal circulation surgery in our center. It accounts for 2.8% (11/399) of primary cardiac tumors in the same period. Pathological study indicated that there were 10 cases of benign tumor and 1 case of low-grade sarcoma. After 0.6-16 years of follow-up, the operation effect was satisfactory. CONCLUSION Most of these tumors are papillary fibroelastoma located on the mitral valve, and surgical operation is the best strategy for cardiac primary valve tumors.
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Affiliation(s)
| | | | | | | | | | | | - Yong Wang
- Department of Cardiovascular Surgery, The Second Affiliated Hospital (Xinqiao Hospital) of Chinese People's Liberation Army Medical University; Chongqing-China.
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Moreno-Estébanez A, Luna Rodríguez A, Ugarriza Serrano I, Blanco Martín E, González-Pinto T, Larrazabal López J, Pérez-Concha T. Papillary fibroelastoma, an unexpected cause of stroke: Outcomes after acute reperfusion therapy. Neurol Clin Pract 2018; 8:e4-e6. [PMID: 30105169 DOI: 10.1212/cpj.0000000000000455] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Accepted: 02/15/2018] [Indexed: 12/28/2022]
Affiliation(s)
- Ana Moreno-Estébanez
- Departments of Neurology (AM-E, ALR, IUS, EBM, TG-P, TP-C) and Cardiology (JLL), Cruces University Hospital, Barakaldo, Basque Country, Spain
| | - Alain Luna Rodríguez
- Departments of Neurology (AM-E, ALR, IUS, EBM, TG-P, TP-C) and Cardiology (JLL), Cruces University Hospital, Barakaldo, Basque Country, Spain
| | - Iratxe Ugarriza Serrano
- Departments of Neurology (AM-E, ALR, IUS, EBM, TG-P, TP-C) and Cardiology (JLL), Cruces University Hospital, Barakaldo, Basque Country, Spain
| | - Elisa Blanco Martín
- Departments of Neurology (AM-E, ALR, IUS, EBM, TG-P, TP-C) and Cardiology (JLL), Cruces University Hospital, Barakaldo, Basque Country, Spain
| | - Tirso González-Pinto
- Departments of Neurology (AM-E, ALR, IUS, EBM, TG-P, TP-C) and Cardiology (JLL), Cruces University Hospital, Barakaldo, Basque Country, Spain
| | - Jagoba Larrazabal López
- Departments of Neurology (AM-E, ALR, IUS, EBM, TG-P, TP-C) and Cardiology (JLL), Cruces University Hospital, Barakaldo, Basque Country, Spain
| | - Tomás Pérez-Concha
- Departments of Neurology (AM-E, ALR, IUS, EBM, TG-P, TP-C) and Cardiology (JLL), Cruces University Hospital, Barakaldo, Basque Country, Spain
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