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Cardiac papillary fibroelastoma: report of three cases
Tatsuichiro Seto1, Tamaki Takano, Yoshinori Otsu
1Department of Surgery, Shinshu University School of Medicine, Matsumoto, Nagano, Japan.
Insights
Papillary fibroelastoma, a rare primary cardiac tumor, can cause serious complications like stroke. Surgical removal is effective for treating these cardiac tumors, leading to uncomplicated recovery.
Area of Science:
- Cardiovascular Medicine
- Oncology
Background:
- Primary cardiac tumors are rare, with papillary fibroelastoma being less common than myxoma or lipoma.
- This study focuses on three cases of papillary fibroelastoma, a rare cardiac neoplasm.
Observation:
- Patients ranged from 28 to 75 years old, with one female patient.
- Two patients presented with cerebral infarction and cardiac ischemia; one was asymptomatic.
- Echocardiography identified hyperechoic masses in the left atrium, ventricle, and on the aortic valve, aiding differential diagnosis.
Findings:
- Surgical excision of the papillary fibroelastoma was successfully performed in all three patients.
- All patients experienced uncomplicated post-operative courses following tumor removal.
Implications:
- Early diagnosis and surgical intervention are crucial for managing papillary fibroelastoma.
- Effective treatment of this rare cardiac tumor prevents severe complications such as stroke and ischemia.
Abstract:
Primary cardiac tumors are uncommon, and papillary fibroelastoma is considered relatively rare compared to myxoma and lipoma in the primary cardiac tumors. We experienced three cases of fibroelastoma. The patients' age was 28-75 years, and one patient was female. Two patients were presented with cerebral infarction and cardiac ischemia although, the other patient had no symptoms. Echocardiography revealed a hyperechoic mass in the left atrium, ventricle and on the aortic valve and helpful for differential diagnosis from myxoma. Surgical excision of the tumor was successfully performed in all patients and post-operative course was uncomplicated.
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