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Surgical treatment for papillary fibroelastoma of the aortic valve

Akinobu Sasaki1, Masataka Sato, Tomoaki Jikuya

  • 1Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital, 1-3-1 Amakubo, Tsukuba, Ibaraki, 305-8558, Japan. a.sasa@nifty.com

General Thoracic and Cardiovascular Surgery
|September 17, 2009
PubMed

Insights

Cardiac papillary fibroelastomas, though benign, can cause serious events like stroke. Surgical removal is advised for mobile tumors, even in asymptomatic patients, to prevent complications.

Area of Science:

  • Cardiovascular Medicine
  • Cardiac Surgery
  • Oncology

Background:

  • Cardiac papillary fibroelastomas are rare, benign cardiac tumors.
  • Despite being benign, they pose significant risks including stroke, myocardial infarction, and sudden cardiac death.

Observation:

  • A 62-year-old woman presented with an asymptomatic mobile, rounded mass on the aortic valve's left coronary cusp.
  • Echocardiography confirmed the mass, suggestive of a papillary fibroelastoma.

Findings:

  • The patient underwent successful surgical excision of the aortic valve mass.
  • Pathology confirmed the diagnosis of papillary fibroelastoma.
  • The patient experienced an uneventful recovery and was discharged within 10 days.

Implications:

  • Surgical excision is recommended for symptomatic patients with cardiac papillary fibroelastomas.
  • The management of asymptomatic tumors remains controversial, but mobility suggests increased risk.
  • This case supports surgical intervention for mobile aortic valve papillary fibroelastomas to prevent thromboembolic events.

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