Sri sathya sai institute of higher medical sciences 46,852 views. Prognostic and bioepidemiologic implications of papillary. Papillary cardiac fibroelastoma, benign cardiac tumor, left ventricle. Papillary fibroelastomas, while considered generally rare, make up about 10 percent of all primary tumors of the heart.
Papillary fibroelastoma is the most common of the primary valvular cardiac tumors, accounting for 73% of these tumors 1. This is thought to represent mineralization, or small deposits of calcium, in the muscle of the heart. The successful complete resection of the papillary fibroelastoma is. Incidental papillary fibroelastoma multimodal ncbi. She discharged the 6 th postoperative day in optimal clinical conditions. Cardiac papillary fibroelastoma typically has multiple fronds attached by a small pedicle.
Surgical treatment of cardiac papillary fibroelastoma. Echogenic intracardiac focus eif is a small bright spot seen in the babys heart on an ultrasound exam. Transesophageal echocardiography for detection of a papillary fibroelastoma of the aortic valve. The lesion was histologically diagnosed as a papillary fibroelastoma figure 3. Cardiac papillary fibroelastomas are rare, primary benign tumors. The file contains 222 pages and is free to view, download or print. Transesophageal echocardiography showed a 78mm mass arising from the anterior leaflet of the mitral valve with trivial mitral insufficiency fig. Echocardiographically, the distinction between pfe and lambls excrescence 39, 40, strands 38 and fenestrations 37 is primarily size.
Rapid identification followed by surgical resection is curative, precise and well tolerated by the patient. Get a printable copy pdf file of the complete article 1. Papillary fibroelastoma is rare but is a recognized cause of embolic phenomena. Most cases were discovered between the ages of 7079.
The resected lesion had a flowerlike appearance with frondlike projections deriving from the tumor. Papillary fibroelastoma is the third most common primary tumor of the heart and is most likely to involve the cardiac valves. The patients postoperative course was uncomplicated. Papillary fibroelastomas are small, frondlike, often stalked intracardiac tumors known for their embolic potential. Papillary fibroelastomas are rare, benign tumors of the heart that often are incidental. A papillary fibroelastoma is a primary tumor of the heart that typically involves one of the valves of the heart. Descargue como pdf, txt o lea en linea desde scribd. Although most fibroelastomas are incidental findings at autopsy, a few cases have been associated with cardiac symptoms that include angina, arterial embolism and sudden death. A 59yearold female, with past history of recurrent ischemic cerebrovascular accidents. Eifs are found in about 35% of normal pregnancies and cause no health problems.
Although most patients are asymptomatic, serious complications may result given their propensity for embolization. They are the third most common type of primary tumor of the heart, behind cardiac myxomas and cardiac lipomas. Cardiac papillary fibroelastoma has a pro pensity to affect the anatomically contiguous structures of the aortic valve, left ventricular outflow tract, and anterior mitral. Despite the benign nature of this tumor, it carries very high risk of embolic complications. Some have described them as looking like a sea anemone. Papillary fibroelastoma pfe is a rare primary benign tumor of cardiac origin that predominantly affects the cardiac valves. Chryssagis k, liangos a, westhof f, batz g, diegeler a.60 655 545 1322 1305 534 127 1288 944 1038 605 412 1040 1385 1475 1584 1365 1246 307 1441 1050 835 233 283 1460 677 186 147 1436 726 1331 1563 175 1279 1326 1620 273 904 1330 856 1393 932 744 293 731 795 836 290