Related Experiment Videos
[Papillary fibroelastoma. Report of 3 cases]
1Service de chirurgie cardiaque, hôpital Sud, Amiens.
Archives Des Maladies Du Coeur Et Des Vaisseaux
|April 30, 1999
Summary
Papillary fibroelastomas, rare heart tumors, can cause serious cerebrovascular accidents. Surgical removal is effective in preventing recurrence, as shown in three patient cases.
Area of Science:
- Cardiology
- Cardiac Surgery
- Oncology
Background:
- Papillary fibroelastoma is a rare, benign primary cardiac tumor.
- These tumors can lead to significant neurological complications, including cerebrovascular accidents.
Observation:
- Three cases of papillary fibroelastoma presenting with transient or complete cerebrovascular accidents are reported.
- Diagnosis was confirmed using echocardiography, particularly transesophageal echocardiography.
- Tumor locations included the aortic valve (multiple sites in two cases) and the mitral valve (single site in one case).
Findings:
- Surgical excision was performed rapidly due to symptom severity and high recurrence risk.
- All surgeries were successful, with pathology confirming complete tumor ablation.
- No recurrence has been observed in the patients to date.
Implications:
- The findings highlight the importance of prompt surgical intervention for cardiac papillary fibroelastomas.
- The multiple nature of tumors in some cases raises questions about local spread or secondary degeneration.
- Further discussion is warranted regarding the potential for tumor recurrence.