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Papillary fibroelastoma of the pulmonary valve

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Abstract

A papillary fibroelastoma is rare, but it is the most common primary tumor of the cardiac valves. Most papillary fibroelastomas affect the left-sided heart valves, such as the aortic and mitral valves; however, they also rarely affect the pulmonary valve. Generally, surgical removal is strongly recommended to prevent its potential thromboembolic risks, especially in cases of left-sided cardiac involvement. However, there are few reports on the treatment of asymptomatic, small, right-sided cardiac fibroelastomas. We present a rare case of an asymptomatic papillary fibroelastoma occurring on the pulmonary valve, which was detected by transthoracic echocardiography, transesophageal echocardiography, and a 64-slice cardiac computed tomography scan, and which was surgically removed.

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References

  1. RA Howard GS Aldea OM Shapira JM Kasznica R Davidoff (1999) ArticleTitlePapillary fibroelastoma: Increasing recognition of a surgical disease Ann Thorac Surg 68 1881–1885 Occurrence Handle10585089 Occurrence Handle10.1016/S0003-4975(99)00860-7 Occurrence Handle1:STN:280:DC%2BD3c%2FkvFOrtg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  2. HL Lichtenstein JC Lee S Stewart (1979) ArticleTitlePapillary tumor of the heart: Incidental finding at surgery Hum Pathol 10 473–475 Occurrence Handle468227 Occurrence Handle10.1016/S0046-8177(79)80053-2 Occurrence Handle1:STN:280:DyaE1M3jvVWitQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  3. JP Sun CR Asher XS Yang GG Cheng GM Scalia AG Massed BP Griffin NB Ratliff WJ Stewart JD Thomas (2001) ArticleTitleClinical and echocardiographic characteristics of papillary fibroelastomas: A retrospective and prospective study in 162 patients Circulation 103 2687–2693 Occurrence Handle11390338 Occurrence Handle1:STN:280:DC%2BD3MzhvFKqtw%3D%3D

    PubMed  CAS  Google Scholar 

  4. S Uchida N Obayashi H Yamanari K Matsubara D Saito S Haraoka (1992) ArticleTitlePapillary fibroelastoma in the left ventricular outflow tract Heart Vessels 7 164–167 Occurrence Handle1500401 Occurrence Handle10.1007/BF01744871 Occurrence Handle1:STN:280:DyaK38zmtlyktw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  5. M Ibrahim RG Masters M Hynes JP Veinot RA Davies (2006) ArticleTitlePapillary fibroelastoma of the pulmonary valve Can J Cardiol 22 509–510 Occurrence Handle16685317

    PubMed  Google Scholar 

  6. S Tobe K Yoshida M Yamaguchi H Nishimura M Kawata (2006) ArticleTitlePrimary pulmonary valve papillary fibroelastoma Jpn J Thorac Cardiovasc Surg 54 308–310 Occurrence Handle16898647 Occurrence Handle10.1007/PL00022260

    Article  PubMed  Google Scholar 

  7. RS Saad CO Galvis W Bshara J Liddicoat DJ Dabbs (2001) ArticleTitlePulmonary valve papillary fibroelastoma. A case report and review of the literature Arch Pathol Lab Med 125 933–934 Occurrence Handle11419980 Occurrence Handle1:STN:280:DC%2BD3MzlvFCqsw%3D%3D

    PubMed  CAS  Google Scholar 

  8. MJ Costa AN Makaryus DR Rosman (2006) ArticleTitleA rare case of a cardiac papillary fibroelastoma of the pulmonary valve diagnosed by echocardiography Int J Cardiovasc Imaging 22 199–203 Occurrence Handle16077998 Occurrence Handle10.1007/s10554-005-9012-4

    Article  PubMed  Google Scholar 

  9. YS Chang PH Chu SM Jung KE Lim JJ Chu C Hsueh YS Lee (2005) ArticleTitleUnusual cardiac papillary fibroelastoma in the right ventricular outflow tract Cardiovasc Pathol 14 104–106 Occurrence Handle15780802 Occurrence Handle10.1016/j.carpath.2005.01.003

    Article  PubMed  Google Scholar 

  10. M Daccarett P Burke S Saba (2006) ArticleTitleIncidental finding of a large pulmonary valve fibroelastoma: A case report Eur J Echocardiogr 7 253–256 Occurrence Handle15927535 Occurrence Handle10.1016/j.euje.2005.04.008

    Article  PubMed  Google Scholar 

  11. A Maestroni B Zecca M Triggiani (2006) ArticleTitleCardiac papillary fibroelastoma presenting with acute coronary syndrome and syncope Acta Cardiol 61 363–365 Occurrence Handle16869462 Occurrence Handle10.2143/AC.61.3.2014843

    Article  PubMed  Google Scholar 

  12. DH Israel W Sherman JA Ambrose S Sharma N Harpaz M Robbins (1991) ArticleTitleDynamic coronary ostial obstruction due to papillary fibroelastoma leading to myocardial ischemia and infarction Am J Cardiol 67 104–105 Occurrence Handle1986496 Occurrence Handle10.1016/0002-9149(91)90113-Y Occurrence Handle1:STN:280:DyaK3M%2Fps1Oitg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  13. PM McFadden JR Lacy (1987) ArticleTitleIntracardiac papillary fibroelastoma: an occult cause of embolic neurologic deficit Ann Thorac Surg 43 667–669 Occurrence Handle3592839 Occurrence Handle1:STN:280:DyaL2s3ktVGjsw%3D%3D Occurrence Handle10.1016/S0003-4975(10)60248-2

    Article  PubMed  CAS  Google Scholar 

  14. EK Granger J Rankin RI Larbalestier BE Hockings (2005) ArticleTitleObstruction of the right coronary artery ostium by an aortic valve papillary fibroelastoma Heart Lung Circ 14 266–268 Occurrence Handle16360999 Occurrence Handle10.1016/j.hlc.2005.04.010

    Article  PubMed  Google Scholar 

  15. W Saw S Nicholls G Trim D Thomson C Hughes S Mitchell J Leitch (2001) ArticleTitlePapillary fibroelastoma, a rare but potentially treatable cause of embolic stroke: Report of three cases Heart Lung Circ 10 105–107 Occurrence Handle16352047 Occurrence Handle10.1046/j.1444-2892.2001.00082.x Occurrence Handle1:STN:280:DC%2BD2MnmsVKgtg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  16. C de Virgilio TJ Dubrow JM Robertson S Siegel L Ginzton M Nussmeier RJ Nelson (1989) ArticleTitleDetection of multiple cardiac papillary fibroelastomas using transesophageal echocardiography Ann Thorac Surg 48 119–121 Occurrence Handle2764589 Occurrence Handle1:STN:280:DyaL1MzltVahsA%3D%3D Occurrence Handle10.1016/0003-4975(89)90195-1

    Article  PubMed  CAS  Google Scholar 

  17. G LiMandri S Homma MR Di Tullio D Hodges R Arora C Marboe CR Smith (1994) ArticleTitleDetection of multiple papillary fibroelastomas of the tricuspid valve by transesophageal echocardiography J Am Soc Echocardiogr 7 315–317 Occurrence Handle8060649 Occurrence Handle1:STN:280:DyaK2czjvVOgsA%3D%3D

    PubMed  CAS  Google Scholar 

  18. MF Malik K Sagar JC Wynsen D Kenny (1998) ArticleTitleEvolution of a papillary fibroelastoma J Am Soc Echocardiogr 11 92–94 Occurrence Handle9487480 Occurrence Handle10.1016/S0894-7317(98)70130-0 Occurrence Handle1:STN:280:DyaK1c7kvVClsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  19. T Nakakuki H Masuoka K Ishikura T Seko S Koyabu T Tamai M Sugawa M Ito T Nakano (2004) ArticleTitleA case of primary cardiac lymphoma located in the pericardial effusion Heart Vessels 19 199–202 Occurrence Handle15278395 Occurrence Handle10.1007/s00380-003-0748-2

    Article  PubMed  Google Scholar 

  20. D Grandmougin G Fayad D Moukassa C Decoene K Abolmaali JC Bodart M Limousin H Warembourg (2000) ArticleTitleCardiac valve papillary fibroelastomas: clinical, histological and immunohistochemical studies and a physiopathogenic hypothesis J Heart Valve Dis 9 832–841 Occurrence Handle11128794 Occurrence Handle1:STN:280:DC%2BD3M7gsVOguw%3D%3D

    PubMed  CAS  Google Scholar 

  21. AN Kurup HD Tazelaar WD Edwards AP Burke R Virmani KW Klarich TA Orszulak (2002) ArticleTitleIatrogenic cardiac papillary fibroelastoma: A study of 12 cases (1990 to 2000) Hum Pathol 33 1165–1169 Occurrence Handle12514783 Occurrence Handle10.1053/hupa.2002.130105

    Article  PubMed  Google Scholar 

  22. KW Klarich M Enriquez-Sarano GM Gura WD Edwards AJ Tajik JB Seward (1997) ArticleTitlePapillary fibroelastoma: echocardiographic characteristics for diagnosis and pathologic correlation J Am Coll Cardiol 30 784–790 Occurrence Handle9283541 Occurrence Handle10.1016/S0735-1097(97)00211-8 Occurrence Handle1:STN:280:DyaK2svivFWqsw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  23. JM Grinda JP Couetil S Chauvaud N D'Attellis A Berrebi JN Fabiani A Deloche A Carpentier (1999) ArticleTitleCardiac valve papillary fibroelastoma: surgical excision for revealed or potential embolization J Thorac Cardiovasc Surg 117 106–110 Occurrence Handle9869763 Occurrence Handle10.1016/S0022-5223(99)70474-5 Occurrence Handle1:STN:280:DyaK1M7gt1GgsQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Woo Hyuk Song.

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Park, M., Shin, J., Park, H. et al. Papillary fibroelastoma of the pulmonary valve. Heart Vessels 22, 284–286 (2007). https://doi.org/10.1007/s00380-006-0965-6

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  • DOI: https://doi.org/10.1007/s00380-006-0965-6

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