Giant Papillary Fibroelastoma: A Case Report and Review of the Literature

Nadal, Jose Martinelli; Nelson, Adam; Edwards, James

doi:10.1016/j.hlc.2018.04.198

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2023

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“…However, due to the morphology of PFEs and known risk of embolic sequelae noted in left-sided PFEs, right-sided PFEs have historically been treated with excision. Shave excision is considered curative for PFEs with low risk of recurrence [ 3 ]. Here, we describe an unusual symptomatic presentation of PFE and our surgical technique for excision.…”

Section: Introductionmentioning

confidence: 99%

Pulmonary valve papillary fibroelastoma: to PE or not to PE

Kirk,

Yong,

Williams

et al. 2023

Journal of Surgical Case Reports

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Pulmonary valve (PV) fibroelastomas are a rare pathology, with limited anecdotal literature surrounding them. Consequently, the natural history is unclear; however, two features have remained salient; they are asymptomatic and found incidentally. Here, we describe a 52-year-old female, presenting with symptoms suggestive pulmonary embolism (PE). Pulmonary angiography revealed a filling deficit in the pulmonary trunk (PT), adjacent to the PV. Subsequent investigation found a large PV fibroelastoma. The presence of symptoms is likely secondary to right ventricular outflow tract obstruction from the lesions large size. We describe our investigation and management of the lesion. The reporting of this case challenges the existing knowledge of PV fibroelastomas.

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Section: Introductionmentioning

confidence: 99%