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Papillary fibroelastomas.

D M Shahian1

  • 1Department of Thoracic and Cardiovascular Surgery, Lahey Clinic Medical Center, Burlington, MA 01805, USA.

Seminars in Thoracic and Cardiovascular Surgery
|May 12, 2000
PubMed
Summary
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Papillary fibroelastomas are rare heart tumors. Surgical removal is recommended for symptomatic cases and asymptomatic left-sided lesions due to risks of serious events.

Area of Science:

  • Cardiovascular Medicine
  • Oncology
  • Pathology

Background:

  • Papillary fibroelastomas are rare, benign cardiac neoplasms.
  • They predominantly affect cardiac valves and are increasingly detected via echocardiography.
  • These lesions are typically small, papillary structures attached by a stalk.

Purpose of the Study:

  • To review the characteristics, clinical presentation, and management of papillary fibroelastomas.
  • To emphasize the importance of early diagnosis and appropriate treatment strategies.
  • To differentiate management approaches based on lesion location and symptoms.

Main Methods:

  • Literature review of papillary fibroelastoma cases.
  • Analysis of diagnostic modalities, focusing on echocardiography.

Related Experiment Videos

  • Evaluation of treatment outcomes for surgical versus conservative management.
  • Main Results:

    • Papillary fibroelastomas can lead to serious embolic events, including neurological and cardiac complications.
    • Surgical excision is a safe, effective, and curative treatment option.
    • Anticoagulation is a less reliable alternative for symptomatic patients with contraindications to surgery.

    Conclusions:

    • Symptomatic papillary fibroelastomas warrant surgical removal unless contraindicated.
    • Asymptomatic left-sided lesions require resection due to high embolic risk.
    • Asymptomatic right-sided lesions may be managed conservatively with observation.