Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Early surgical intervention for unusually located cardiac fibroelastomas

  • Chung, Eui Suk (Department of Thoracic and Cardiovascular Surgery, Inje University Sanggye Paik Hospital, Inje University School of Medicine) ;
  • Lee, Jae Hoon (Department of Thoracic and Cardiovascular Surgery, Inje University Sanggye Paik Hospital, Inje University School of Medicine) ;
  • Seo, Jong Kwon (Division of Cardiology, Department of Internal Medicine, Inje University Sanggye Paik Hospital, Inje University School of Medicine) ;
  • Kim, Byung Gyu (Division of Cardiology, Department of Internal Medicine, Inje University Sanggye Paik Hospital, Inje University School of Medicine) ;
  • Kim, Gwang Sil (Division of Cardiology, Department of Internal Medicine, Inje University Sanggye Paik Hospital, Inje University School of Medicine) ;
  • Lee, Hye Young (Division of Cardiology, Department of Internal Medicine, Inje University Sanggye Paik Hospital, Inje University School of Medicine) ;
  • Byun, Young Sup (Division of Cardiology, Department of Internal Medicine, Inje University Sanggye Paik Hospital, Inje University School of Medicine) ;
  • Kim, Hyun Jung (Department of Pathology, Inje University Sanggye Paik Hospital, Inje University School of Medicine)
  • Received : 2020.07.06
  • Accepted : 2020.07.11
  • Published : 2020.10.31
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Abstract

Papillary fibroelastomas are the second most common primary cardiac tumor in adults. Over 80% of fibroelastomas occur on the cardiac valves, usually on the left side of the heart, while the remaining lesions are typically scattered throughout the atria and ventricles. Although the optimal timing for surgery is controversial and depends on tumor size and location, prompt surgical resection is warranted in patients at high risk of embolism. A tumor on the cardiac valve can be removed using the slicing excision technique without leaflet injury. Here we present two cases of papillary fibroelastomas occurring on the ventricular surface of the aortic valve and in the right ventricle.

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References

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