Document Detail

CASE REPORT Papillary Fibroelastomas and the Conundrum of the Benign Intracardiac Mass.
MedLine Citation:
PMID:  22724043     Owner:  NLM     Status:  In-Data-Review    
Cardiac papillary fibroelastomas are a rare form of benign, primary cardiac tumor. They tend to develop from the valvular endocardium, with nonvalvular locations being uncommon. They are primarily found on either the mitral or aortic valve. They account for 7% of all primary cardiac tumors. Papillary fibroelastomas are usually identified through either transthoracic echocardiography or transesophageal echocardiography. The latter is more likely to provide a clearer diagnosis. Management remains controversial. The benign histology notwithstanding, the prevailing consensus is toward excision of left-sided cardiac lesions due to the risk of coronary and cerebral embolization. While the diagnosis of cardiac papillary fibroelastomas is relatively rare, the likelihood of encountering a right-sided lesion with rapid growth in a 6-month period is extraordinary. We highlight a case where an 84-year-old man with coronary artery disease was found to have a right atrial mass attached to the tricuspid valve. This mass grew by more than 1 cm in a 6-month period.
Vijay A Singh; Masood A Shariff; Rami Michael; Basam Azab; Shani J Fruchter; Kourosh T Asgarian; Joseph T McGinn
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Publication Detail:
Type:  Journal Article     Date:  2012-06-15
Journal Detail:
Title:  Eplasty     Volume:  12     ISSN:  1937-5719     ISO Abbreviation:  Eplasty     Publication Date:  2012  
Date Detail:
Created Date:  2012-06-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101316107     Medline TA:  Eplasty     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e28     Citation Subset:  -    
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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