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Infected multiple fibroelastomas in hypertrophic cardiomyopathy
Jean-François Fuzellier1, Camille Brasselet, Sophie Perotin
1Department of Cardiothoracic Surgery, Hôpital Robert Debré, Reims, France. jffuzellier@chu-reims.fr
The Journal of Heart Valve Disease
|December 20, 2005
Summary
Multiple infected cardiac papillary fibroelastomas, rare benign heart tumors, were found on the mitral valve, aortic valve, and left ventricular outflow tract. Complete surgical excision is crucial to prevent severe complications like mitral insufficiency.
Area of Science:
- Cardiology
- Cardiac Surgery
- Oncology
Background:
- Cardiac papillary fibroelastomas are rare, benign neoplasms of the heart.
- Multiple lesions are uncommon, occurring in less than 10% of cases.
- These tumors pose risks of life-threatening complications if not completely removed.
Observation:
- This report details the first known case of multiple infected papillary fibroelastomas.
- The tumors were located on the mitral valve, aortic valve, and left ventricular outflow tract.
- The patient presented with massive mitral insufficiency and hypertrophic cardiomyopathy.
Findings:
- Preoperative transesophageal echocardiography is vital for identifying all tumor locations.
- Complete surgical excision of all lesions is mandatory for preventing serious sequelae.
- This case highlights the potential for infection and severe valvular dysfunction in multiple fibroelastomas.
Implications:
- Early and comprehensive diagnosis of cardiac papillary fibroelastomas is essential.
- Surgical intervention must address all tumor sites to ensure patient safety.
- This case expands understanding of the clinical presentation and management of rare cardiac tumors.