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Mitral valve papillary fibroelastoma: surgical considerations.
Gian M Novaro1, Rafael E Cabrales, W Douglas Boyd
1Department of Cardiology, Desk A23, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, USA. novarog@ccf.org
Asian Cardiovascular & Thoracic Annals
|May 23, 2006
Summary
Surgical excision of cardiac papillary fibroelastomas, even when symptoms are uncertain, can help identify patients at high risk for embolic events. This case highlights management strategies for these rare heart tumors.
Area of Science:
- Cardiology
- Cardiac Surgery
- Oncology
Background:
- Cardiac papillary fibroelastomas (CPFs) are rare primary cardiac tumors.
- Management strategies for CPFs remain challenging due to their infrequent occurrence.
Observation:
- A 51-year-old female presented with a mitral valve papillary fibroelastoma, discovered during an evaluation for a source of embolism.
- The association between the patient's symptoms and the tumor was equivocal.
Findings:
- The mitral valve papillary fibroelastoma was electively surgically excised.
- Surgical intervention was based on guidelines for identifying patients at high risk of embolic events.
Implications:
- This case underscores the importance of surgical intervention for select patients with CPFs, even in the absence of definitive symptoms.
- Reviewing evaluation and selection criteria can optimize surgical therapy for patients at risk of embolic events from CPFs.