This case highlights that papillary fibroelastoma of the tricuspid valve, though rare, can present as pulmonary embolism and is effectively managed with surgical resection.
Tricuspid fibroelastoma may present as pulmonary embolism; case reports leave open optimal management strategies.
A 65-year-old gentleman was admitted with recurrent dyspnea. Two-dimensional and transesophageal echocardiography revealed a highly mobile echogenic mass attached to the tricuspid valve. A (99m)Tc lung perfusion scan was suggestive of pulmonary embolism. The patient underwent surgical resection of the mass. Histopathological examination revealed a papillary fibroelastoma.
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Shah et al. (2014) studied this question.
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