Key result
A 70-year-old man with multiple tricuspid papillary fibroelastomas remained asymptomatic with no change in tumor size during 7 years of conservative follow-up.
Why the study?
Most patients with papillary fibroelastomas have isolated tumors, and multiple papillary fibroelastomas are rare.
Case Report (n=1)
This case demonstrates that multiple tricuspid papillary fibroelastomas can remain asymptomatic and stable in size over a 7-year follow-up period without surgical resection.
May support conservative follow-up in select asymptomatic cases; leaves open need for prospective data on tricuspid fibroelastomas.
Papillary fibroelastomas (PFE) are the third most common primary cardiac tumor with an incidence of up to 0.33% in autopsy series. Most patients with PFE are clinically asymptomatic with isolated tumors; multiple PFE are rare. We present a case of a 70-year-old man with cardiovascular risk factors and ischemic heart disease, whom during echocardiographic assessment multiple pediculated, highly mobile and echo-dense masses in the tricuspid valve were incidentally identified. He was afebrile and had no clinical signs or biochemical evidence suggesting infective endocarditis. In the 7 year-follow-up, the patient remains asymptomatic without modifications of the diameter of the tricuspid PFE in the annual routine echocardiographic study.
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Tapia-Sansores et al. (2021) conducted a case report in Multiple tricuspid papillary fibroelastomas (n=1). Conservative management was evaluated on Tumor size and symptom progression. A 70-year-old man with multiple tricuspid papillary fibroelastomas remained asymptomatic with no change in tumor size during 7 years of conservative follow-up.
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