Excision of cardiac papillary fibroelastomas can be successfully combined with complex reconstructive cardiac surgeries.
May support combined excision-reconstruction in select fibroelastoma cases; hypothesis-generating, larger studies needed before practice change.
Three cases of cardiac papillary fibroelastomas are described. Two-dimensional echocardiography detected the tumors in the mitral valve, the cordae tendinae and in the apex of the left ventricle--a unique location. The tumor excisions were combined with bypass operation, mitral valve reconstruction, repair of cordae tendinae and Maze-procedure. The three patients are doing well after surgery.
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Tkebuchava et al. (1997) studied this question.
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