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Triple papillary fibroelastomas in an asymptomatic patient
D Kireyev1, M H Ashraf, M F Wilson
1Department of Cardiology, State University of New York, Buffalo, NY, USA. dkireyev@cha.harvard.edu
Insights
Papillary fibroelastomas are a common cardiac tumor. This case report details a patient with these tumors on all aortic valve cusps, highlighting diagnostic imaging and surgical findings.
Area of Science:
- Cardiovascular Medicine
- Pathology
- Surgical Oncology
Background:
- Papillary fibroelastoma is the third most common primary cardiac tumor.
- While often asymptomatic, cardiac tumors can lead to serious complications like embolic events, syncope, and sudden death.
- Aortic valve involvement by papillary fibroelastoma is rare but clinically significant.
Abstract:
Papillary fibroelastoma is the third most common type of primary cardiac tumour. Even though the majority of patients with these tumours are asymptomatic, they may present with embolic phenomena, syncope and death. This report describes a patient with papillary fibroelastomas affecting all three cusps of the aortic valve, with accompanying transoesophageal echocardiography and images of surgical specimens of the tumours.