Surgical excision of cardiac papillary fibroelastomas is recommended due to the risk of cerebral and coronary embolization, and is associated with good surgical outcomes.
Supports excision for embolic risk; leaves open need for prospective data before broader adoption.
Papillary fibroelastomas are rare and benign heart tumors. We present two cases with these lesions. A young female patient with cerebral infarction was operated to resect the tumor on the mitral valve and the valve was successfully repaired. Another male patient had a history of bradycardia. On examination, coronary stenosis and a tumor in the left ventricle was found. Tumor excision combined with aorto-coronary artery bypass grafting was performed. Echocardiography proved to be highly effective to diagnose these tumors. Because of the potential cerebral and coronary embolization, these tumors should be excised. Surgical results are good.
No takes yet. Share an insight, caveat, or question.
Ni et al. (1996) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: