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Occurrence of a second primary papillary fibroelastoma
Mark S Hynes1, John P Veinot, Kwan L Chan
1Department of Cardiac Anesthesia, Ottawa Heart Institute, Ottawa, Ontario. mhynes@ottawaheart.on
The Canadian Journal of Cardiology
|August 9, 2002
Summary
Papillary fibroelastomas are rare benign heart tumors. Recurrence of embolic symptoms may indicate a new cardiac tumor, even years later.
Area of Science:
- Cardiology
- Oncology
Background:
- Papillary fibroelastomas are rare, benign cardiac tumors.
- They typically originate on heart valves and can cause embolic events.
Observation:
- A patient experienced transient ischemic attacks due to a tricuspid valve papillary fibroelastoma.
- Nine years post-resection, the patient presented with new cerebral embolic symptoms.
Findings:
- A new papillary fibroelastoma was identified on the mitral valve.
- This highlights the potential for late recurrence or new primary tumor development.
Implications:
- Recurrent embolic symptoms warrant investigation for new cardiac tumors.
- Long-term surveillance is crucial for patients with a history of cardiac papillary fibroelastomas.