Multiple cardiac papillary fibroelastomas: a case report and review of the literature

Mostafa Ali1, Mohammad Alomari1, Magdy M El-Sayed Ahmed1,2

  • 1Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, FL, United States.

Insights

Cardiac papillary fibroelastomas (PFEs), rare tumors affecting both heart sides, can cause embolic events. Surgical resection of these benign cardiac tumors is effective for preventing further complications.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Oncology

Background:

  • Cardiac papillary fibroelastomas (PFEs) are the most common benign cardiac tumors, typically presenting as solitary lesions.
  • Multivalvular involvement of PFEs is exceptionally rare, with limited cases documented in medical literature.

Observation:

  • A 63-year-old male presented with embolic stroke symptoms and coronary artery embolism.
  • Echocardiography revealed multiple masses on both mitral and tricuspid valve leaflets.

Findings:

  • Successful valve-sparing surgical resection of the PFEs was performed, mitigating embolic risk.
  • Post-operative follow-up at 6 months showed no tumor recurrence and preserved valve function with minimal regurgitation.

Implications:

  • This case highlights the importance of considering rare presentations of PFEs, even with bilateral valvular involvement.
  • Valve-sparing surgery is a viable and effective treatment option for PFEs, preventing embolic complications and preserving cardiac function.