Surgical resection of cardiac papillary fibroelastoma in the left ventricular outflow tract
Hidehito Sakaguchi1, Hiroyoshi Sekii
1Department of Cardiovascular Surgery, Chiba Tokushukai Hospital, Funabashi, Japan.
Insights
This case report details the successful surgical removal of a cardiac papillary fibroelastoma (CPF) from the left ventricle. The study highlights a rare occurrence of CPF in this location and its favorable surgical outcome.
Area of Science:
- Cardiovascular Medicine
- Surgical Oncology
- Pathology
Background:
- Cardiac papillary fibroelastomas (CPFs) are rare primary cardiac tumors, typically found on valves.
- Left ventricular cavity involvement is exceptionally uncommon, with limited reported cases globally.
Observation:
- An 81-year-old male presented with a left ventricular tumor identified via echocardiography.
- Surgical resection of the tumor, measuring 20x15 mm, was successfully performed through the aortic annulus.
- Pathological examination confirmed the diagnosis of cardiac papillary fibroelastoma.
Findings:
- The patient experienced an uneventful recovery and was discharged 10 days post-surgery.
- This report adds to the scarce literature on left ventricular CPFs, particularly within the Japanese context.
- The surgical procedure involved a short aortic cross-clamp time (27 minutes) and cardiopulmonary bypass time (48 minutes).
Implications:
- Successful surgical management of left ventricular CPF is feasible, even in elderly patients.
- This case contributes valuable data to the understanding of rare cardiac tumors and their clinical presentation.
- Further retrospective analysis of clinical features may aid in early diagnosis and treatment strategies for CPF.
Abstract:
An 81-year-old man was referred to our hospital on May 29, 2006, for a left ventricular tumor that a cardiologist had evaluated by echocardiography. The patient underwent surgical resection of a left ventricular tumor including the stalk through the aortic annulus on June 6. The aortic cross-clamp time, cardiopulmonary time, and operation time were 27 minutes, 48 minutes, and 2 hours 40 minutes, respectively. The specimen was examined pathologically and found to be a cardiac papillary fibroelastoma (CPF), 20x15 mm in size. He was discharged home 10 days after the surgery without significant adverse events. There are approximately 6 case reports on CPF in the left ventricular cavity published in Japan. Our surgical experience was reported, and a clinical feature of papillary fibroelastoma on the prior clinical data was reviewed retrospectively.
