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Primary cardiac valve tumors

P E Ryan1, A I Obeid, F B Parker

  • 1Suny Health Science Center, Syracuse Crouse Irving Memorial Hospital, NY, USA.

The Journal of Heart Valve Disease
|May 1, 1995
PubMed

Insights

Cardiac valve tumors, though rare, can cause serious symptoms like stroke. Surgical excision offers a successful treatment, preserving valve function with minimal risk. Recurrence has not been observed.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Oncology

Background:

  • Cardiac valve tumors are uncommon but can lead to significant clinical issues.
  • Early diagnosis and treatment are crucial for patient outcomes.

Observation:

  • Three cases of mitral valve tumors treated successfully via surgical excision are presented.
  • Echocardiography, including transthoracic and transesophageal approaches, proved vital for diagnosing valvular lesions.
  • Neurologic symptoms were present in two of the three patients, highlighting potential systemic effects.

Findings:

  • Surgical removal of cardiac valve tumors was achieved with preservation of normal valve tissue and function.
  • A literature review of 128 patients indicated that papillary fibroelastoma is the most frequent cardiac valve tumor.
  • While many patients are asymptomatic, symptomatic cases can manifest as disabling events like stroke, myocardial infarction, or sudden death.

Implications:

  • Timely diagnosis of cardiac valve tumors is enhanced by advanced echocardiography techniques.
  • Simple surgical excision is an effective treatment for papillary fibroelastomas, associated with minimal morbidity and mortality.
  • The findings support surgical intervention as a safe and effective strategy for managing cardiac valve tumors, with no reported recurrences.

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