Mitral valve repair for anterior leaflet papillary fibroelastoma: two case descriptions and a literature review (original) (raw)
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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 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
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.
Echocardiographic diagnosis of papillary fibroelastoma of the mitral and tricuspid valve apparatus
Clinical Cardiology, 1997
Papillary fibroelastomas are rare and normally benign cardiac tumors typically attached to cardiac valves. This report describes two patients who were evaluated for intermittent dyspnea in one case and for the source of cerebral embolism in the other. In both patients transthoracic echocardiography revealed a pedunculated mobile mass adjacent to an atrioventricular valve, suggestive of papillary fibroelastoma. Postoperative histology was confirmatory of papillary fibroelastoma with a typical hyalinized hypocellular stroma covered by a single layer of endocardial cells.
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.
Asymptomatic Cardiac Papillary Fibroelastoma: Diagnostic Assessment and Therapy
Journal of Cardiac Surgery, 2006
Papillary fibroelastoma is a rare benign cardiac tumor with elevated risk for embolization. This report describes the case of a 65-year-old man, admitted for the occasional finding of a round, pedunculate mass adherent to the chordae of the anterior mitral valve leaflet, mimicking an endocarditic mass. Appropriate diagnostic evaluations lead to the suspect of a papillary fibroelastoma. Because of the elevated risk of thromboembolism, surgery was emergently performed with complete removal of the mass and preservation of the integrity of the mitral valve. Histologic evaluation confirmed the diagnosis. Papillary fibroelastoma should be always considered in the differential diagnosis of intracardiac masses.
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.
Unusual Location of a Cardiac Papillary Fibroelastoma
Cardiology Research, 2017
Cardiac papillary fibroelastoma is a rare benign cardiac tumor that represents less than 10% of all cardiac tumors. Most papillary fibroelastomas are relatively small. Symptoms, if present, are due to flow obstruction or peripheral embolization. The most common sites of origin are aortic and mitral valve surfaces. We present successful surgical resection of a papillary fibroelastoma through the mitral valve which originated from the posterior papillary muscle of the left ventricle.