Key result
Resection of rare coumadin ridge papillary fibroelastoma completely resolves recurrent TIA symptoms.
Why the study?
Cardiac papillary fibroelastomas are rare benign tumors usually on valvular surfaces, with limited data on tumors arising from the coumadin ridge causing embolic events.
Case Report (n=1)
No
Surgical excision of a rare cardiac papillary fibroelastoma located on the coumadin ridge successfully resolved the patient's transient ischemic attacks.
May support resection in symptomatic cases; leaves open generalizability and need for prospective data.
Cardiac papillary fibroelastomas (CPF) are rare cardiac tumors, mostly found on the valvular surfaces in the heart. These tumors are frond like in nature and are benign, intracardiac masses, rarely causing any hemodynamic disturbances. However, excision of these masses is indicated due to their propensity to embolize. We present a case report of the tumor found on the coumadin ridge, causing transient ischemic attacks in a patient. We performed complete excision of the tumor via median sternotomy on cardiopulmonary bypass support with cardiac arrest. The diagnosis was confirmed by histological examination. The patient had an uneventful postoperative course and was discharghed on postoperative day 4. She has had complete resolution of her symptoms post excision. The diagnosis of the mass was confirmed on histological examination.
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Malik et al. (2017) conducted a case report in Cardiac papillary fibroelastoma (n=1). Surgical resection was evaluated on Symptom resolution and successful tumor excision. Surgical resection of a rare cardiac papillary fibroelastoma arising from the coumadin ridge resulted in complete resolution of transient ischemic attack symptoms in a 71-year-old female.
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