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April 21, 2026Journal of Case Reports and Images in OncologyOpen Access

A tricuspid valve papillary fibroelastoma in a pediatric patient: an atypical presentation of a benign cardiac tumor

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Why the study?

Papillary fibroelastoma is a rare benign cardiac tumor typically seen in adults and located on the left side of the heart.

Population

An otherwise healthy 2-year-old female with a harsh holosystolic murmur

Design

Case report

Key result

Surgical resection of a rare, large tricuspid valve papillary fibroelastoma in a 2-year-old female successfully restored valve function and resulted in an asymptomatic status at follow-up.

Authors

PPPliceliany Perez-KerseySGSurbhi GuptaCMCarol McFarland

Discussion

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Member takes

Overview

Consider in differential for pediatric harsh holosystolic murmurs; extends known papillary fibroelastoma spectrum to young children and right-sided valves.

Key Points

  • To highlight the occurrence of a papillary fibroelastoma in a pediatric patient, which is an atypical presentation for this type of tumor.
  • Case report of a 2-year-old female patient referred for cardiac evaluation.
  • Assessment involved cardiology examination and imaging may have been utilized.
  • Identification of a papillary fibroelastoma located on the tricuspid valve.
  • Patient was otherwise healthy, underscoring rarity in pediatric cases.

Study Design

Type

Case Report (n=1)

Multicenter

No

Structured PICO

P
Population
1 asymptomatic 2-year-old female referred for evaluation of a harsh III/VI holosystolic murmur, found to have a large mobile heterogenous echogenic mass attached to the tricuspid valve.
I
Intervention
Surgical resection of the mass and tricuspid valve reconstruction using autologous pericardium.
O
Outcome
Post-operative valve function and patient symptom status at follow-up.

Reports a rare case of a right-sided papillary fibroelastoma causing valvular dysfunction in a 2-year-old child, successfully treated with surgical resection.

Cite This Study

Perez-Kersey et al. (2026) conducted a case report in Tricuspid valve papillary fibroelastoma (n=1). Surgical resection and valve reconstruction was evaluated on Post-operative clinical and echocardiographic status. Surgical resection of a rare, large tricuspid valve papillary fibroelastoma in a 2-year-old female successfully restored valve function and resulted in an asymptomatic status at follow-up.

synapsesocial.com/papers/69e713decb99343efc98d48dhttps://doi.org/10.5348/100153z10pk2026cr
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