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Left Ventricular Papillary Fibroelastoma
Cristina Balboa1, Souhayla Souaf2, José M Suárez3
1Department of Surgery and Medico-Surgical Specialities. University of Santiago de Compostela, Spain.
Insights
A rare nonvalvular cardiac papillary fibroelastoma was found in a 66-year-old male presenting with cerebellar infarctions. Surgical excision confirmed the diagnosis, highlighting rare cardiac tumor presentations.
Area of Science:
- Cardiology
- Oncology
- Neurology
Background:
- Cardiac papillary fibroelastoma is a rare benign primary cardiac tumor.
- Typically found on valvular structures, nonvalvular locations are exceedingly rare.
Observation:
- A 66-year-old male presented with cerebellar infarctions.
- A mobile mass on the left ventricle's anteroseptal wall was identified.
- Cardiac MRI showed late gadolinium enhancement.
Findings:
- Histopathology confirmed the cardiac mass as a papillary fibroelastoma.
- Surgical excision via transaortic approach was successful.
- The tumor was located in a nonvalvular region of the left ventricle.
Implications:
- This case highlights the importance of considering rare cardiac tumors in patients with embolic events.
- Early diagnosis and surgical management are crucial for favorable outcomes.
- Further research into the etiology and management of nonvalvular cardiac tumors is warranted.
Introduction:
Cardiac papillary fibroelastoma is a rare benign primary cardiac tumor typically found on the valvular structures of the heart. Nonvalvular papillary fibroelastomas are exceedingly rare. We report the case of a 66-year-old male who presented with cerebellar infarctions and was found to have a mobile mass attached to the endocardial surface of the anteroseptal wall of the left ventricle. Cardiac magnetic resonance imaging demonstrated late gadolinium enhancement. Surgical excision of the cardiac mass was performed via the transaortic approach without intra-operative complications. Histopathologic examination confirmed the diagnosis of a papillary fibroelastoma. Some aspects related to the etiology, diagnosis and management of this entity are discussed.
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