Papillary fibroelastoma of the mitral valve with systemic embolization (original) (raw)

Embolizing papillary fibroelastoma of the mitral valve

Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital, 1991

We report a case of myocardial infarction secondary to coronary embolization of a papillary fibroelastoma of the anterior mitral leaflet. The patient underwent successful operation. The English literature describes only 9 other surgically excised papillary fibroelastomas of the mitral valve. In 5 of these cases, the patient presented with signs of cerebral or coronary embolization. Our case further confirms that intracardiac papillary fibroelastomas pose a major threat of systemic embolization and that the clinician should be alert to the possibility of this condition, particularly in young patients who present with myocardial infarction or other conditions that could have arisen from systemic embolization.

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.

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.

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 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.

Cardiac Valve Papillary Fibroelastoma: Surgical Excision for Revealed or Potential Embolization

Journal of Cardiac Surgery, 2007

We describe a patient who developed right basal ganglion stroke and partial obstruction of St. Jude mitral valve prosthesis as a result of treatment failure with enoxaparin. The patient did not develop the embolic complication from the thrombosis until almost 4 months after the bridging sequence with low molecular weight heparin. The patient underwent thrombectomy of the mitral valve. At least 16 similar cases with mechanical valve prostheses and treatment failure of low molecular weight heparin have been reported. ABSTRACT Congenital left ventricular aneurysm is an uncommon cardiac malformation. A 9-year-old boy with complaints of dyspnea and palpitation was diagnosed with a left ventricular aneurysm originating from the left ventricle free wall. Aneurysm resection and endoventricular patch repair was performed. Postoperative follow-up was uncomplicated and follow-up echocardiographs showed normal left ventricular contractility.

Fibroelastoma of the Mitral Valve As a Cause of Transient Ischemic Stroke

Arquivos Brasileiros …, 2001

A 44-year-old woman had a transient ischemic stroke, fibroelastoma of the mitral valve being the source of the embolus. The patient evolved with neutropenia induced by ticlopidine after 10 days of treatment. We report the major clinical features, therapeutical options, and medicamentous toxicity resulting from the use of antiplatelet drugs. Less than 5% of all cardiac tumors are primary tumors, which are, therefore, a rare entity; the remaining 95% are metastatic tumors to the heart 1-3. Benign cardiac tumors account for 75% of primary cardiac tumors, of which the most common are myxomas usually originating in the left atrium. Papillary fibroelastomas are rare benign primary cardiac tumors, and for a long time their clinical significance was unknown. Currently, they are recognized as a cause of neurological and cardiac symptoms 3-6. This study aims to report peculiarities in the clinical findings of this entity in addition to reviewing current histologic, anatomicopathological, echocardiographic, and treatment concepts related to papilloma of the mitral valve. Alessi et al Fibroelastoma of the mitral valve Arq Bras Cardiol 2001; 77: 81-4. Alessi et al Fibroelastoma of the mitral valve Arq Bras Cardiol 2001; 77: 81-4.

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

Mitral valve papillary fibroelastoma as a cause of acute coronary syndrome

BMJ Case Reports, 2018

A 37-year-old man presented with acute chest pain, an unremarkable ECG and mildly elevated cardiac troponin. Coronary CT angiography showed a calcium score of 0 together with the absence of atherosclerotic plaques and normal origin and course of the coronary arteries. Transthoracic and transoesophageal echocardiography revealed an infracentimetric round-shaped mobile mass attached to a secondary tendinous chord of the anterior mitral valve leaflet. Cardiac magnetic resonance further evidenced localised contrast uptake supporting vascular irrigation, making thrombus unlikely. After surgical excision, the patient had an uneventful postoperative course. Histopathology disclosed the typical collagenous matrix covered by a single cell layer. Although mostly benign, cardiac tumours are prone to embolisation and can thus mimic an acute coronary syndrome. Multimodality imaging has an important role in unmasking the true mechanism, revealing less common aetiologies and elucidating the possib...