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Cardiac papillary fibroelastomas. Two-dimensional echocardiographic recognition
Mayo Clinic Proceedings
|October 1, 1981
Summary
Papillary fibroelastomas are rare, benign heart tumors. This report details two cases diagnosed via echocardiography and successfully treated with surgical excision.
Area of Science:
- Cardiovascular Medicine
- Cardiac Pathology
Background:
- Papillary fibroelastomas are the most common primary cardiac tumors.
- They are typically found incidentally during cardiac surgery or autopsy.
- While often asymptomatic, they can rarely cause symptoms or sudden cardiac death.
Observation:
- Two cases of cardiac papillary tumors are presented.
- Diagnosis was achieved using two-dimensional echocardiography.
- Tumors were located on the mitral valve (1x1 cm) and aortic valve (1.5x1 cm).
Findings:
- One patient was asymptomatic with a mitral valve papilloma.
- The second patient experienced chest pain and diaphoresis due to an aortic valve papilloma.
- Both cardiac tumors were successfully surgically excised.
Implications:
- Echocardiography is effective for diagnosing papillary fibroelastomas.
- Surgical excision is a successful treatment for symptomatic and incidental cardiac papillary tumors.
- Early diagnosis and intervention can prevent potential complications like sudden death.