Key result
Fiberscope-assisted resection achieves complete removal and clear visualization of cardiac papillary fibroelastoma.
Why the study?
Cardiac papillary fibroelastoma is a benign tumor that can cause significant embolic events and is usually located on valves, but unusual locations require effective detection and resection methods.
Case Report (n=1)
The use of a fiberscope during surgical resection of intracardiac masses such as cardiac papillary fibroelastoma can aid in lesion detection and ensure complete resection.
Rare papillary muscle CPF expands embolic source differential; extends known locations but leaves open fiberscope utility.
Cardiac papillary fibroelastoma (CPF) is a histologically benign tumor that can cause a significant embolic event. CPF is usually located on the endocardium, and is found on valves in 90% of cases. We experienced an unusual case of CPF situated on a left ventricular anterolateral papillary muscle. An 84-year-old female who had developed cerebellum infarction five months previously underwent surgical resection of CPF. During surgical resection of the tumor, a fiberscope was useful for detecting the lesion, and allowed us to ensure complete resection with a good surgical view. Our experience encourages us to use the fiberscope when resecting other intracardiac masses, including thrombi.
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Matsuo et al. (2007) conducted a case report in Cardiac papillary fibroelastoma (n=1). Surgical resection using a fiberscope was evaluated on Complete resection with a good surgical view. Surgical resection of a cardiac papillary fibroelastoma using a fiberscope allowed for complete resection with a good surgical view in an 84-year-old female.
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