Why the study?
Cardiac papillary fibroelastoma is diagnosed incidentally or with embolic phenomena, but presentation with combined cerebral, splenic, and renal infarcts had not been previously reported.
Cardiac papillary fibroelastoma can cause widespread embolization to cerebral, splenic, and renal vessels, highlighting the critical role of transesophageal echocardiography for diagnosis when transthoracic echocardiography is negative.
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Supports resection for symptomatic cardiac fibroelastoma; hypothesis-generating and warrants larger studies before changing practice.
Iqbal et al. (2019) studied this question.
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