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CARDIAC PAPILLARY FIBROELASTOMA: A CASE WITH UNPRECEDENTED SPREAD
João Lopes Cardoso1, Carolina Saleiro2, Ana Botelho2
1Department of Cardiothoracic Surgery, Coimbra Hospital and University Centre, Coimbra, Portugal.
Portuguese Journal of Cardiac Thoracic and Vascular Surgery
|April 26, 2022
Summary
Multifocal papillary fibroelastomas (PFE), rare cardiac tumors, can affect multiple heart valves and cavities. This case highlights successful surgical removal of widespread PFE without valve damage.
Area of Science:
- Cardiovascular Medicine
- Cardiac Oncology
- Surgical Pathology
Background:
- Papillary fibroelastomas (PFE) are rare primary cardiac tumors.
- Multifocal PFE are exceptionally uncommon, typically found on valve surfaces like the aortic valve.
Observation:
- A patient presented with a history of embolic stroke and multiple intracardiac masses.
- Multimodal imaging demonstrated widespread nodules throughout the heart's chambers and valves.
Findings:
- Surgical excision of all identified nodules was successfully performed.
- No significant valve dysfunction was noted post-operatively.
Implications:
- This case underscores the potential for extensive intracardiac distribution of multifocal PFE.
- Complete surgical resection is a viable treatment option, preserving cardiac function.
