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An unusual case of giant cardiac fibroelastoma mimicking left atrial myxoma in a patient presenting with syncope
Author(s) -
Khoueiry Georges,
Geha Fady,
Meghani Mustafain,
Abi Rafeh Nidal,
Azab Basem,
Torbey Estelle,
Asgarian Kourosh T.,
Sicat Michael
Publication year - 2012
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.21914
Subject(s) - medicine , papillary fibroelastoma , myxoma , syncope (phonology) , cardiac tumors , left atrial myxoma , cardiology , presentation (obstetrics) , mitral valve , atrial myxoma , heart neoplasms , radiology , left atrium , atrial fibrillation
Cardiac papillary fibroelastomas are the most common primary valvular tumors. Generally benign, they account only for about 10% of all primary cardiac neoplasms, can occur in normal or diseased hearts, and are associated strongly with open heart surgery and radiotherapy. They are, in most cases, incidental findings, but can be discovered after syncope. We report the case of an elderly female, who was referred for syncope and was found to have a large fibroelastoma at the mitral valve annulus, intermittently obstructing the left ventricular inflow tract, and mimicking the presentation of left atrial myxoma. This case illustrates another potential mechanism of syncope in patients with fibroelastomas. © 2012 Wiley Periodicals, Inc. J Clin Ultrasound, 2013