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Rapid development of a papillary fibroelastoma in the aortic valve: report of a case

Haruhiko Kondoh1, Takayuki Yamada, Akira Yoshida

  • 1Department of Cardiovascular Surgery, Otemae Hospital, Chuo-ku, Osaka, Japan.

Surgery Today
|July 30, 2009
PubMed

Insights

A rare, fast-growing cardiac papillary fibroelastoma (CPF) was found on the aortic valve in a 71-year-old woman. Surgical removal preserved the valve, highlighting the importance of monitoring cardiac masses.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Oncology

Background:

  • Cardiac papillary fibroelastomas (CPFs) are rare, typically slow-growing tumors.
  • Early detection and management are crucial to prevent embolic events and complications.

Observation:

  • A 71-year-old woman presented with palpitations, initially showing no cardiac abnormalities.
  • Twelve months later, she developed exertional chest discomfort, with echocardiography revealing a rapidly growing mass on the aortic valve.
  • The tumor, measuring 16 x 7 mm, exhibited a sea anemone-like appearance with villus projections.

Findings:

  • The mass was diagnosed as a papillary fibroelastoma.
  • Surgical resection of the aortic valve tumor was performed successfully, preserving the native valve.
  • The rapid growth of this cardiac papillary fibroelastoma is an unusual presentation.

Implications:

  • This case underscores the potential for rapid growth in cardiac papillary fibroelastomas, necessitating vigilant monitoring.
  • Timely surgical intervention can effectively manage symptomatic CPFs and prevent embolic complications.
  • Preservation of the aortic valve during resection is achievable, offering a favorable prognosis.

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