Highlights a rare presentation of a papillary fibroelastoma on the pulmonary valve, which is typically recommended for removal due to the risk of embolization to the pulmonary circulation.
May support watchful waiting for asymptomatic pulmonary valve fibroelastoma in CAD; leaves open optimal management strategies.
Although rare, papillary fibroelastomas (PFEs) are considered the third most common cause of primary cardiac neoplasm. They are usually asymptomatic and are found during routine echocardiography. PFEs of the pulmonary valve are extremely rare. They are usually benign; however, because of their potential to embolize to the pulmonary circulation, it is often recommended that they be removed. This article reviews a case of an asymptomatic PFE of the pulmonary valve, incidentally found in a patient who presented with three-vessel coronary artery disease.
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Yagoub et al. (2015) studied this question.
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