Key result
Emergent surgical removal of an asymptomatic cardiac papillary fibroelastoma was successfully performed with preservation of the mitral valve.
Case Report (n=1)
Papillary fibroelastoma should be considered in the differential diagnosis of intracardiac masses, and surgical excision can successfully preserve valve integrity.
Supports valve-sparing excision for asymptomatic fibroelastoma; leaves open optimal management pending higher-level evidence.
Papillary fibroelastoma is a rare benign cardiac tumor with elevated risk for embolization. This report describes the case of a 65-year-old man, admitted for the occasional finding of a round, pedunculate mass adherent to the chordae of the anterior mitral valve leaflet, mimicking an endocarditic mass. Appropriate diagnostic evaluations lead to the suspect of a papillary fibroelastoma. Because of the elevated risk of thromboembolism, surgery was emergently performed with complete removal of the mass and preservation of the integrity of the mitral valve. Histologic evaluation confirmed the diagnosis. Papillary fibroelastoma should be always considered in the differential diagnosis of intracardiac masses.
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Borsani et al. (2006) conducted a case report in Papillary fibroelastoma (n=1). Surgical removal was evaluated on Complete removal of the mass and preservation of the integrity of the mitral valve. Emergent surgical removal of an asymptomatic cardiac papillary fibroelastoma was successfully performed with preservation of the mitral valve.
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