Mitral valve repair after excision of a fibrolipoma (original) (raw)
Related papers
European Journal of Cardio-Thoracic Surgery, 1999
Cardiac papillary fibroelastomas are rare cardiac tumors and have been considered a 'benign' incidental finding that may have significant clinical manifestations. In this paper we report two cases of mitral valve fibroelastoma: one was discovered by chance with transthoracic echocardiography in a young healthy man, the other was an intraoperative incidental finding in a middle aged man with a recent history of acute myocardial infarction. The mitral valve was repaired in both cases after excising the tumor. The patients did well and remain asymptomatic. A literature review was compiled which comprises previous case reports of 34 patients with mitral valve papillary fibroelastomas. Most were asymptomatic, but when symptoms occurred, they could be disabling, such as stroke, cardiac heart failure, myocardial infarction, and sudden death. Papillary fibroelastoma is amenable to simple surgical excision or in addition to mitral valve repair or replacement. Recurrence has not been reported.
Tumor Excision Versus Valve Replacement for Papillary Fibroelastoma Involving the Mitral Valve
The American Journal of Cardiology, 2006
We recently encountered a young man who had 3 strokes and a mass found by echocardiography on his mitral valve, which as a consequence was replaced. The tumor both grossly and histologically was a classic papillary fibroelastoma (PF). The patient's condition stimulated a discussion regarding whether excision of the PF or replacement of the valve containing it might be the preferred procedure. In an attempt to answer the question posed, patients previously reported in an English publication since the first mitral valve operation for PF involving an otherwise normal valve were reviewed.
Papillary fibroelastoma of mitral valve chorda
Annals of Thoracic Surgery, 1993
A 43-year-old woman presented with an ischemic stroke in the right middle cerebral artery territory. Cardiac echography disclosed a tumor of a primary chordae of the anterior leaflet of the mitral valve. After neurologic recovery, the patient was referred to surgery for excision of the tumor and plastic reconstruction using a chordal transfer technique. Histological examination of the tumor showed a typical papillary fibroelastoma. Papillary fibroelastoma is the third most frequent cardiac benign tumor. The high embolic potential of this tumor is in favor of an aggressive surgical attitude. q
Papillary fibroelastoma situated in the subvalvular structure of the mitral valve
Turkish Journal of Thoracic and Cardiovascular Surgery, 2013
Cardiac papillary fibroelastomas (CPFs) are rare tumors. [1] They are the third most common primary cardiac tumor, following myxomas and lipomas, and the most common primary valvular tumor. [2-5] They usually occur on the left side of the heart, especially on the aortic valve. [6] However, involvement of the subvalvular structure of the mitral valve is uncommon. Although CPFs are benign in nature, they can cause severe thromboembolic complications regardless of the tumor size. [1,3,5,7,8] Therefore, surgical treatment is recommended to prevent this from happening. [2,4] Here we report a patient with papillary fibroelastoma of the subvalvular structure of the mitral valve that was treated surgically.
Case report - Valves Removal of a ventricular mitral valve fibroelastoma by an aortic approach
2006
Cardiac papillary fibroelastomas are rare neoplasms usually incidentally found by echocardiography for unrelated problems. Otherwise they could be diagnosed following cardiac symptoms or after an embolic complication. The treatment is only surgical, whatever their size, to prevent any complications. A patient is described who presented acute psychiatric symptoms as a consequence of cerebral embolism of a mitral valve papillary fibroelastoma. The surgical excision was performed through an aortotomy with videoscopy used to help exposure and removal.
Caspian Journal of Internal Medicine, 2014
Background: Primary intra cardiac tumors are rare. In this article, we present papillary fibroelastoma of mitral valve chordae. Case Presentation: A 35-year old man presented with atypical chest pain and palpitation. Physical examination and electrocardiogram were normal. Transesophageal echocardiography (TEE) revealed a mass of 1015 mm attached to chordae of anteromedial papillary muscle of mitral valve. The tumor was completely resected and the mitral valve chordae tendineae was preserved successfully. The pathological diagnosis was papillary fibroelastoma. Conclusion: In any patient with atypical chest pain and palpitation, valvular tumor should be considered in differential diagnosis.
Cardiac papillary fibroelastoma of the mitral valve chordae
European Journal of Cardio-Thoracic Surgery, 1998
Papillary fibroelastomas are rare, benign, primary cardiac tumors, usually single and small. The neoplasm consists of a leafy, soft excrescence typically located on the cardiac valves. Although papillary fibroelastomas are usually an asymptomatic incidental finding at autopsy, or during cardiac operation, they are occasionally associated with embolic coronary or cerebral symptoms. A case of a patient is reported with papillary fibroelastoma of the mitral valve chordae, who presented several transitory ischemic attacks characterized by loss of conscience, visual bilateral deficit and right emiparesis. Because of their potential systemic embolization, we believe that these lesions should be always excised.
Papillary fibroelastoma of mitral papillary chordae in a young patient
The International Journal of Cardiovascular Imaging, 2006
Our case is a 38-year-old man, admitted to Cardiology Department with shortness of breath. Echocardiography yields a hyperechogenic mass localized to papillary muscle with severe mitral regurgitation. Coronary angiography demonstrated radiopacity localized to the papillary muscle. The excision of the mass was consistent with elastic tumor, which was reported as papillary fibroelastoma attached to the papillary chordae of the mitral valve. A 29 no St-Jude bileaflet mechanical valve was implanted to mitral position. Papillary fibroelastoma (PF) can be found in young age and originate from the papillary muscle, which the radiopaque angiographic appearance of the mass supports the diagnosis. Figure 2. Color pictures of the excised mitral valve and the mass (a) and Hematoxilen Eosin staining of the excised mass depicting an elastic core surrounded with a single layer endothelium and papillary lesion (b).
Papillary fibroelastoma of the mitral valve with systemic embolization
…, 2000
Primary tumors of the heart are rare disorders. In autopsy studies, their incidence was reported to be 0.01-0.5%. We present the case of a papillary fibroelastoma of the mitral valve with systemic embolization in a young man. (ECHOCARDIOGWHY, Volume 17, February 2000) papillary fibroelastoma, mitral valve, echocardiography We present the case of a papillary fibroelastoma of the mitral valve with systemic embolization in a young man. Case Report A 21-year-old man who was previously asymptomatic was admitted to our hospital neurology clinic with the complaint of weakness of his left extremities. His physical examination was normal except for weakness of his left extremity muscles. He was hospitalized, and a computed tomography scan of the head was performed, which revealed a n area of infarct in the right portion of the brain. He was referred to the cardiology department. Transthoracic echocardiography was performed to search for a source of systemic embolization echocardiography (Figs. 1 and 2). A mobile mass with a diameter of 1.5 cm was revealed on the atrial aspect of the anterior mitral leaflet. On the apical four-chamber view, the mass appeared to have the shape of a ball. Transesophageal echocardiography was