Key result
Valve-sparing resection of mitral and tricuspid papillary fibroelastomas preserves valve competence without 6-month recurrence.
Why the study?
Cardiac papillary fibroelastomas affecting both sides of the heart are exceptionally rare, with only four cases previously reported.
Case Report (n=1)
No
Valve-sparing surgical resection is a viable and effective treatment for rare bilateral cardiac papillary fibroelastomas presenting with embolic complications.
Supports individualized embolic-risk decisions in rare bilateral fibroelastomas; extends four prior reports but leaves management guidelines open.
Cardiac papillary fibroelastomas (PFEs) are the most common benign cardiac tumors and are typically solitary. PFEs affecting both sides of the heart are exceptionally rare, with only four cases reported in the literature. Herein, we report a case of a 63-year-old male presenting with signs and symptoms of embolic strokes and an embolism in the coronary arteries. An echocardiogram showed multiple masses on both the mitral and tricuspid valve leaflets. Because of the risk of embolism, he underwent successful valve-sparing surgical resection without complications. The follow-up echocardiogram at 6 months showed no recurrence and competence of both the mitral and tricuspid valves with minimal regurgitation.
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Ali et al. (2025) conducted a case report in Multiple cardiac papillary fibroelastomas (n=1). Valve-sparing surgical resection was evaluated on Recurrence and valve competence. Valve-sparing surgical resection of multiple cardiac papillary fibroelastomas on both the mitral and tricuspid valves resulted in no recurrence and competent valves at 6 months follow-up.
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