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A rare case of a pulmonary valve papillary fibroelastoma
Author(s) -
Ahern Shane,
Khan Muhammad E. A.,
McLoughlin Joseph,
Mellerick Lisa,
Burke Louise,
Hinchion John
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14944
Subject(s) - papillary fibroelastoma , medicine , asymptomatic , cardiac tumors , surgical excision , pulmonary valve , magnetic resonance imaging , cardiac valve , radiology , cardiac magnetic resonance , surgery
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.