This case series describes totally endoscopic resections for multiple aortic valve papillary fibroelastomas.
Hypothesis-generating for endoscopic resection of multiple aortic valve PFE; should not yet change practice.
Papillary fibroelastomas (PFEs) are rare, benign neoplasms predominantly affecting the valvular structures of the heart, most commonly the aortic valve (AV).1 These tumors are most commonly found incidentally during imaging before cardiac surgery.2 While PFEs are often asymptomatic, they can be associated with devastating morbidity, including transient ischemic attack, cerebrovascular accident, pulmonary or peripheral emboli, myocardial infarction, heart failure, or sudden death.1-3 Surgical resection should be offered to all patients with symptoms and to asymptomatic patients who have mobile lesions, exhibit tumor growth, or if resection is reasonable at the time of another cardiac procedure.
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James et al. (2022) studied this question.
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