Double papillary fibroelastoma: Beautiful, innocent flowers in the left heart

Floria, Mariana; Gerard, Marina; Louagie, Yves; Weynand, Birgit; Schroëder, Erwin

doi:10.1002/jcu.22166

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…Papillary fibroelastomas (Video S4-Supplementary Materials) are the second most common benign cardiac tumors; they seem to surpass myxomas, representing about 10% of all cardiac tumors, and are frequently diagnosed in men between 40 and 80 years old [6]. These are usually located on cardiac valves (about 75% of all cardiac valvular tumors) and less often in the right heart [22]. In the presence of symptoms (such as pulmonary embolism on the right heart or transient ischemic attack on the left heart) or significant valvular regurgitation, surgical excision ensures an accurate diagnosis.…”

Section: Imaging Features Of Right Heart Tumorsmentioning

confidence: 99%

Multimodality Imaging in Right Heart Tumors: Proposed Algorithm towards an Appropriate Diagnosis

Floria,

Burlacu,

Morariu

et al. 2024

JCM

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A right heart tumor can be identified by transthoracic echocardiography during a routine examination or due to cardiac symptoms. The first step is the assessment by echocardiography, with its multiple techniques, and the obtained information must be judged in a clinical and biological context. The second step comprises one, sometimes even two, of the more complex modality imaging methods. The choice is driven not only by the advantages of each imaging technique but also by local expertise or the preferred imaging modality in the center. This step is followed by staging, follow-up, and/or imaging-guided excision or biopsy, which is performed in selected cases in order to obtain anatomopathological confirmation. In the presence of features suggestive of malignancy or causing hemodynamic impairment, a transvenous biopsy is essential before the more complex imaging modalities (which are still relevant in the staging process). Using a structured imaging approach, it is possible to reach an appropriate diagnosis without a biopsy. Frequently, these imaging techniques have a complementary role, so an integrated imaging approach is recommended. This proposed algorithm for appropriate diagnosis of right heart tumors could serve as a practical guide for clinicians (not only imaging specialists).

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Section: Imaging Features Of Right Heart Tumorsmentioning

confidence: 99%

Multimodality Imaging in Right Heart Tumors: Proposed Algorithm towards an Appropriate Diagnosis

Floria,

Burlacu,

Morariu

et al. 2024

JCM

Self Cite

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Multiple papillary fibroelastomas attached to left ventricular side and aortic side of the aortic valve: A report of new case and literature review

et al. 2019

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The aortic valve (AV) is the most commonly affected site in multiple papillary fibroelastomas, but the frequency of embolism caused by the attachment side of the AV has not been elucidated. According to the review of the previous literature, 16 cases have been found attached to the AV. Of these, 6 of these have been found to be attached on the aortic side and 4 on the left ventricular side, 1 was bilateral, and 5 cases were unknown. Of the cases found on the aortic side, embolism occurred in 3 of them, and of the left ventricular side cases, embolism occurred in 2 of them. The frequency of embolism is equivalent even if papillary fibroelastoma attached to either side of the AV.

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Papillary fibroelastoma, unusual cause of stroke in a young man: a case report

Grolla

Vestra

Zoffoli

et al. 2017

J Cardiothorac Surg

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BackgroundPapillary fibroelastoma is the third most common primary benign tumor with an incidence of up to 0.33% in autopsy series; it accounts for approximately 75% of all cardiac valvular tumors.Case presentationWe describe a rare case of a 28-Year-old man that while playing football, had a sudden onset of neurological deficit: aphasia, right hemiparesis and right facial numbness. Transthoracic echocardiography (TTE) showed a 10x10 mm mass attached to the anterior mitral valve leaflet. The patient was treated surgically for the prevention of further embolic complications. Histologic examination of the resected mass revealed a papillary fibroelastoma. It is the third most frequent primary cardiac tumor, after myxoma and fibroma, and the most common primary tumor of heart valves. Despite the benign nature of this tumor, it carries very high risk of embolic complications. The successful complete resection of the papillary fibroelastoma is curative and the long-term postoperative prognosis is excellent.ConclusionsDifferential diagnosis of cardiac masses requires clinical informations, laboratory tests, blood cultures and appropriate use of imaging modalities. Papillary fibroelastoma is a potential cause of embolic stroke in the young. The prompt surgical excision of papillary fibroelastoma is curative and the long-term postoperative prognosis is excellent.

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Double papillary fibroelastoma: Beautiful, innocent flowers in the left heart

Cited by 4 publications

References 8 publications

Multimodality Imaging in Right Heart Tumors: Proposed Algorithm towards an Appropriate Diagnosis

Multimodality Imaging in Right Heart Tumors: Proposed Algorithm towards an Appropriate Diagnosis

Multiple papillary fibroelastomas attached to left ventricular side and aortic side of the aortic valve: A report of new case and literature review

Papillary fibroelastoma, unusual cause of stroke in a young man: a case report

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