Key result
Surgical resection successfully removed a rare, incidentally discovered asymptomatic papillary fibroelastoma of the pulmonary valve, with diagnosis confirmed by histopathology.
Why the study?
Papillary fibroelastoma of the pulmonary valve is rare and most patients lack specific symptoms, presenting risks of embolic complications despite being benign.
Case Report (n=1)
Highlights a rare case of an asymptomatic pulmonary valve papillary fibroelastoma incidentally diagnosed by echocardiography and successfully treated with surgical resection.
Answers are grounded in this paper and cite their sources.
Supports resection of asymptomatic pulmonary valve fibroelastomas; leaves open standardized management for this rare entity.
Primary cardiac tumors are rare, but papillary fibroelastoma (PFE) is reportedly the most common form, which usually occurs on the left-side valves of the heart. However, PFE involving the tricuspid and pulmonary valves has also been documented. Although PFE is benign and seldom associated with valvular dysfunction, the associated embolic complications may lead to serious consequences. Most patients with PFE lack specific clinical symptoms and the diagnosis is incidental. Surgical resection is the mainstay treatment for PFE in order to prevent the occurrence of embolic complications. In this report, we present a case of a rare asymptomatic PFE of the pulmonary valve, which was incidentally noted during a routine examination with transthoracic echocardiography (TEE). There was neither valvular dysfunction nor hemodynamic change. The PFE was surgically removed, and the diagnosis was further confirmed with histopathology.
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Guo et al. (2019) conducted a case report in Asymptomatic pulmonary valve papillary fibroelastoma (n=1). Surgical resection was evaluated. Surgical resection successfully removed a rare, incidentally discovered asymptomatic papillary fibroelastoma of the pulmonary valve, with diagnosis confirmed by histopathology.
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