Multiple papillary fibroelastomas and thrombus in the left heart

Area of Science:

• Cardiology
• Oncology
• Pathology

Background:

• Cardiac papillary fibroelastomas (CPF) are rare, benign neoplasms typically found incidentally.
• This case highlights CPF presenting as multiple masses in a 68-year-old male.

Observation:

• Transthoracic echocardiography identified multiple masses in the left ventricle and aortic valve, and a non-mobile mass in the left atrium.
• The patient also presented with severe mitral stenosis and moderate aortic regurgitation.

Findings:

• Surgical resection of the cardiac masses was performed, along with valve replacements.
• Histopathology confirmed Cardiac papillary fibroelastomas (CPF) in the left ventricle and aortic valve, and a thrombus in the left atrium.

Implications:

• This case underscores the importance of echocardiography in diagnosing cardiac masses.
• Prompt surgical intervention is crucial for managing symptomatic CPF and associated valvular heart disease.
• Accurate histopathological diagnosis is essential for differentiating benign CPF from malignant cardiac tumors.