Vol 5, No 3 (2020)
Case report
Published online: 2020-08-14

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Papillary fibroelastoma in a 63-year-old asymptomatic patient with paroxysmal atrial fibrillation

Witold Żurański, Michał Kasprzak
Medical Research Journal 2020;5(3):215-218.

Abstract

Papillary fibroelastoma (PFE) is the second most frequent benign cardiac tumor. It is located mainly in the heart valves. Because its course is usually clinically silent it is often detected accidentally in transthoracic echocardiography (TTE). Despite the benign nature of the lesion, the histological structure of PFE increases the risk of embolic episodes. Development of imaging techniques as well as their wider accessibility, especially TTE, contributes to the more common detection of this tumor in the general population. In this publication, we present a case of an asymptomatic 63-year-old woman in whom an aortic valve lesion resembling PFE was detected in TTE.

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References

  1. Butany J, Nair V, Naseemuddin A, et al. Cardiac tumours: diagnosis and management. The Lancet Oncology. 2005; 6(4): 219–228.
  2. R R, et al. Gopaldas, P. V. Atluri, A. S. Blaustein, , “Papillary fibroelastoma of the aortic valve: operative approaches upon incidental discovery, ” Texas Heart Institute Journal, vol. 36, no 2, pp 160–163. ; 2009.
  3. Bossert T, Gummert JF, Battellini R, et al. Surgical experience with 77 primary cardiac tumors. Interact Cardiovasc Thorac Surg. 2005; 4(4): 311–315.
  4. Paraskevaidis IA, Michalakeas CA, Papadopoulos CH, et al. Cardiac tumors. ISRN Oncol. 2011; 2011: 208929.
  5. Aryal MR, Badal M, Mainali NR, et al. Papillary fibroelastoma of the aortic valve: An unusual cause of angina. World J Cardiol. 2013; 5(4): 102–105.
  6. Chitwood WR. Cardiac neoplasms: current diagnosis, pathology, and therapy. J Card Surg. 1988; 3(2): 119–154.
  7. Grinda JM, Couetil JP, Chauvaud S, et al. Cardiac valve papillary fibroelastoma: surgical excision for revealed or potential embolization. J Thorac Cardiovasc Surg. 1999; 117(1): 106–110.
  8. MAGAREY FR. On the mode of formation of Lambl's excrescences and their relation to chronic thickening of the mitral valve. J Pathol Bacteriol. 1949; 61(2): 203–8, 5 pl.
  9. Malik MF, Sagar K, Wynsen JC, et al. Evolution of a papillary fibroelastoma. J Am Soc Echocardiogr. 1998; 11(1): 92–94.
  10. Parthenakis F, Nyktari E, Patrianakos A, et al. Asymptomatic papillary fibroelastoma of the aortic valve in a young woman - a case report. Cardiovasc Ultrasound. 2009; 7: 43.
  11. Sun JP, Asher CR, Yang XS, et al. Clinical and echocardiographic characteristics of papillary fibroelastomas: a retrospective and prospective study in 162 patients. Circulation. 2001; 103(22): 2687–2693.
  12. Bruce CJ. “Cardiac tumors: diagnosis and management, ” Heart, vol. 97, no 2, pp 151–160. ; 2011.
  13. Baikoussis NG, Dedeilias P, Argiriou M, et al. Cardiac papillary fibroelastoma; when, how, why? Ann Card Anaesth. 2016; 19(1): 162–165.
  14. Gowda RM, Khan IA, Nair CK, et al. Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases. Am Heart J. 2003; 146(3): 404–410.