Key result
Surgical excision of double papillary fibroelastomas on the mitral and aortic valves was performed in an asymptomatic patient to prevent potential systemic or coronary embolization.
Case Report (n=1)
Transesophageal echocardiography is valuable for identifying multiple papillary fibroelastomas, which require surgical excision due to the risk of systemic or coronary embolization.
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Multiple fibroelastomas may prompt surgical excision even if asymptomatic; leaves open optimal detection and management strategies.
Papillary fibroelastoma is a rare, benign tumor, and multiple papillary fibroelastomas are even more uncommon. In an asymptomatic patient scheduled for carotid endarterectomy, transthoracic echocardiography discovered a fibroelastoma on the mitral valve. Then, transesophageal echocardiography showed another fibroelastoma on the aortic valve. Because he also needed a right coronary artery bypass, the patient underwent surgical excision of both masses. Fibroelastomas are not always as innocent as they seem, and surgical excision is necessary because of their potential for systemic or coronary embolization. Transoesophageal echocardiography may improve the diagnosis of multiple papillary fibroelastomas.
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Floria et al. (2014) conducted a case report in Double papillary fibroelastoma (n=1). Surgical excision was evaluated. Surgical excision of double papillary fibroelastomas on the mitral and aortic valves was performed in an asymptomatic patient to prevent potential systemic or coronary embolization.
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