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[Cardiac papillary fibroelastoma].

Samuel Mendes1, Angelo Nobre, Delfina Brito

  • 1Serviço de Cirurgia Cardiotorácica, Hospital de Santa Maria, Lisboa, Portugal.

Revista Portuguesa De Cirurgia Cardio-Toracica E Vascular : Orgao Oficial Da Sociedade Portuguesa De Cirurgia Cardio-Toracica E Vascular
|October 24, 2006
PubMed
Summary
This summary is machine-generated.

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Cardiac papillary fibroelastoma, a rare benign valvular tumor, can cause severe complications like stroke. Surgical resection is recommended for patients with a history of cardiovascular or cerebrovascular injury to prevent future embolizations.

Area of Science:

  • Cardiology
  • Oncology
  • Pathology

Background:

  • Cardiac papillary fibroelastoma is the most common valvular tumor, typically benign and small (<1 cm).
  • These tumors predominantly occur in the aortic valve.
  • Histologically, they feature a fibrous core with elastic fibers, connective tissue, and endothelial lining.

Observation:

  • Papillary fibroelastomas are often incidentally discovered during transesophageal echocardiography (TEE).
  • Embolization of the tumor or associated thrombus can lead to serious events including stroke, myocardial infarction, or sudden death.

Findings:

  • The study presents two clinical cases of cardiac papillary fibroelastoma.
  • Both cases involved surgical resection performed between 2005 and 2006.

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Implications:

  • Surgical intervention is crucial for patients diagnosed with papillary fibroelastoma, especially those with prior cardiovascular or cerebrovascular events.
  • Early diagnosis and surgical management can mitigate the risk of life-threatening embolic complications.