Surgical approach for left ventricular papillary fibroelastoma

Area of Science:

• Cardiovascular Surgery
• Cardiac Oncology
• Pathology

Background:

• Papillary fibroelastoma (PFE) of the left ventricle is an uncommon cardiac tumor.
• Surgical planning for left ventricular PFE requires careful preoperative consideration.
• This report details two surgical cases of left ventricular PFE managed with distinct approaches.

Purpose of the Study:

• To present two surgical cases of left ventricular papillary fibroelastoma.
• To illustrate different surgical approaches for left ventricular PFE based on tumor location.
• To highlight the importance of patient-tailored surgical strategies.

Main Methods:

• Two patients with left ventricular PFE underwent surgical resection via median sternotomy.
• The first patient's apical tumor was accessed through left atriotomy with a Cooley retractor.
• The second patient's septal tumor was accessed via aortotomy, utilizing a tape measure to maintain aortic cusp exposure.

Main Results:

• Histopathological examination confirmed PFE in both resected tumors.
• The first patient presented with palpitations; the second was asymptomatic.
• Both patients underwent successful surgical resection using tailored approaches.

Conclusions:

• Left ventricular papillary fibroelastoma resection necessitates individualized surgical techniques.
• Tumor location is a critical factor in determining the optimal surgical approach.
• Patient-tailored strategies are essential for effective surgical management of left ventricular PFE.