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A Rare Case of Large Nonvalvular Papillary Fibroelastoma Manifesting as Vertigo and Exertional Dyspnea
Mohaddeseh Behjati1, Mohsen Mirmohammadsadeghi1, Ehsan Abadi1
1Department of Cardiology, Isfahan University of Medical Sciences, Isfahan, Iran.
Background:
Papillary fibroelastoma (PFE) is an uncommon benign cardiac tumor, typically arising from valvular structures. Nonvalvular PFEs are exceedingly rare and may present with diverse symptoms.
Case Presentation:
We present a case of a 46-year-old woman with positional vertigo and exertional dyspnea. Transthoracic echocardiography revealed a mobile oval-shaped mass in the left ventricle. Cardiac magnetic resonance imaging suggested a large papillary fibroelastoma. The tumor was successfully resected, and histopathological examination confirmed the diagnosis.
Conclusion:
This case highlights the importance of thorough imaging and surgical intervention in managing large, nonvalvular PFEs, which, although rare, can lead to significant complications.
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