Journal of Cardiovascular Imaging

Korean Society of Echocardiography (한국심초음파학회)
권호 표지
DOI QR코드

DOI QR Code

MULTIPLE PAPILLARY FIBROELASTOMAS AND THROMBUS IN THE LEFT HEART

  • Seo, Guang-Won (Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Seol, Sang-Hoon (Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Park, Bo-Min (Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Tae-Jin (Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Jae-Kyun (Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Song, Pil-Sang (Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Dong-Kie (Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Ki-Hun (Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Yeon Mee (Department of Pathology, Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Doo-Il (Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine)
  • Received : 2013.08.20
  • Accepted : 2014.02.18
  • Published : 2014.03.27
⟨ Previous Next ⟩

Abstract

Cardiac papillary fibroelastomas (CPF) are benign cardiac tumors and usually discovered incidentally during echocardiography. This report describes the case of a 68-year-old man, referred to cardiology for multiple masses of the left ventricle and left atrium. The transthoracic echocardiography revealed multiple oscillating masses in the left ventricle and aortic valve, non-mobile mass in the left atrium with severe mitral stenosis and moderate aortic regurgitation. The patient underwent surgical resection of the masses with valve replacements. Histopathologic examination confirmed the diagnosis of CPF in the left ventricle and aortic valve, thrombus in the left atrium.

Keywords

References

  1. Edwards FH, Hale D, Cohen A, Thompson L, Pezzella AT, Virmani R. Primary cardiac valve tumors. Ann Thorac Surg 1991;52:1127-31. https://doi.org/10.1016/0003-4975(91)91293-5
  2. Klarich KW, Enriquez-Sarano M, Gura GM, Edwards WD, Tajik AJ, Seward JB. Papillary fibroelastoma: echocardiographic characteristics for diagnosis and pathologic correlation. J Am Coll Cardiol 1997;30:784-90. https://doi.org/10.1016/S0735-1097(97)00211-8
  3. Mutlu H, Demir IE, Leppo J, Levy WK. Nonsurgical management of a left ventricular pedunculated papillary fibroelastoma: a case report. J Am Soc Echocardiogr 2008;21:877.e4-7. https://doi.org/10.1016/j.echo.2007.10.001
  4. Seol SH, Kim DS, Han YC, Kim KH, Kim YB, Kim DK, Ung-Kim, Yang TH, Kim DK, Kim DI. Nonsurgical management of a tricuspid valvular pedunculated papillary fibroelastoma. Cardiovasc Ultrasound 2009;7:44. https://doi.org/10.1186/1476-7120-7-44
  5. Gowda RM, Khan IA, Nair CK, Mehta NJ, Vasavada BC, Sacchi TJ. Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases. Am Heart J 2003;146:404-10. https://doi.org/10.1016/S0002-8703(03)00249-7
  6. Samoun M, Sansone F, Burlo M, Calafiore AM. Papillary fibroelastoma of the anterolateral papillary muscle: an unusual case. J Cardiovasc Med (Hagerstown) 2006;7:830-2. https://doi.org/10.2459/01.JCM.0000250871.55907.3c
  7. Park JH, Seol SH, Cho HJ, Park SH, Kim DK, Kim U, Yang TH, Kim DK, Kim DI, Kim DS. Papillary fibroelastoma presenting as a left ventricular mass. J Cardiovasc Ultrasound 2010;18:66-9. https://doi.org/10.4250/jcu.2010.18.2.66
  8. Pomerance A. Papillary "tumours" of the heart valves. J Pathol Bacteriol 1961;81:135-40. https://doi.org/10.1002/path.1700810116
  9. Saloura V, Grivas PD, Sarwar AB, Gorodin P, Ledley GS. Papillary fibroelastomas: innocent bystanders or ignored culprits? Postgrad Med 2009;121:131-8. https://doi.org/10.3810/pgm.2009.05.2013
  10. Grebenc ML, Rosado de Christenson ML, Burke AP, Green CE, Galvin JR. Primary cardiac and pericardial neoplasms: radiologic-pathologic correlation. Radiographics 2000;20:1073-103; quiz 1110-1, 1112. https://doi.org/10.1148/radiographics.20.4.g00jl081073
  11. Fishbein MC, Ferrans VJ, Roberts WC. Endocardial papillary elastofibromas. Histologic, histochemical, and electron microscopical findings. Arch Pathol 1975;99:335-41.