Pulmonic Papillary Fibroelastoma: Cause of Recurrent Pulmonary Emboli and Treatment
DOI:
https://doi.org/10.17987/icfj.v4i0.161Keywords:
papillary fibroelastoma, pulmonary valve, pulmonary embolus, anticoagulationAbstract
Cardiac papillary fibroelastomas are rare, typically benign primary cardiac tumors. The pulmonary valve is the least common site for valvular papillary fibroelastomas. They commonly present with dyspnea on exertion and can show right ventricular outflow tract obstruction on echocardiography. Embolic phenomena are one of the most serious consequences. Treatment usually consists of surgical excision. We report the first case of pulmonary emboli from pulmonary valve papillary fibroelastoma treated with anticoagulation. This occurred in only the second case of pulmonary emboli from pulmonary papillary fibroelastoma reported in literature to date.
References
Daccarett M, Burke P, Souheil S: Incidental finding of a large pulmonary valve fibroelastoma: A case report. European Heart Journal of Echocardiography 2006; 7: 253-256. DOI: http://dx.doi.org/10.1016/j.euje.2005.04.008
Klarich KW, Enriquez-Sarano M, Gura GM, et al: Papillary fibroelastoma: Echocardiographic characteristics for diagnosis and pathological correlation. Journal of American College of Cardiology 1997; 30: 784-790. DOI: 10.1016/S0735-1097(97)00211-8
Hakim FA, Aryal MR, Pandit A, et al: Papillary Fibroelastoma of the pulmonary valve- a systematic review. Echocardiography 2014; 31: 234-240. DOI: 10.1111/echo.12388
Mastroroberto P. Olivito S, Onorati F, et al: Papillary fibroelastoma of tricuspid valve with pulmonary embolization. Asian Cardiovascular & Thoracic Annals 2006; 143: 53-54. DOI: 10.1177/021849230601400328
Gabbieri D, Rossi G, Bavutti L, et al: Papillary fibroelastoma of the right atrium as an unusual source of recurrent pulmonary embolization. Journal of Cardiovascular Medicine 2006; 7: 373-378. DOI: 10.2459/01.JCM.0000223263.77674.db
Sun JP, Asher CR, Yang XS, et al: Clinical and echocardiographic characteristics of papillary fibroelastomas: A retrospective and prospective study in 162 patients. Circulation 2001; 103: 2687-2693. DOI: 10.1161/01.CIR.103.22.2687
Van Werkum MH, Swaans MJ, Van Es HW, et al: Case 190: Papillary fibroelastoma of the pulmonary valve. Radiology 2013; 266: 680-684. DOI: http://dx.doi.org/10.1148/radiol.12110495
Costa MJ, Makaryus AN, and Rosman DR: A rare case of a cardiac papillary fibroelastoma of the pulmonary valve diagnosed by echocardiography. The International Journal of Cardiovascular Imaging 2006; 22: 199-203. DOI: 10.1007/s10554-005-9012-4
Natarajan A, Tan S, Patel HN, et al: Mass in the left atrial appendage: A therapeutic dilemma. Canadian Journal of Cardiology 2013; 29: 1329.e13-1329.e15. DOI: 10.1016/j.cjca.2012.05.019
Mutlu H, Demir IE, Leppo J, et al: Nonsurgical management of a left ventricular pedunculated papillary fibroelastoma: A case report. Journal of the American Society of Echocardiography 2013; 21: 877.e4-877.e7. DOI: 10.1016/j.echo.2007.10.001
Shewan LG, Coats AJS, Henein M. Requirements for ethical publishing in biomedical journals. International Cardiovascular Forum Journal 2015;2:2 DOI: 10.17987/icfj.v2i1.4
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