Papillary Fibroelastoma Incidentally Found on Left Atrial Wall During Minimally Invasive Aortic Valve Replacement

Qasim Al Abri; Lamees I. El Nihum; M. Mujeeb Zubair; Roberto Barrios; Michael J. Reardon; Mahesh Ramchandani

doi:10.14503/THIJ-21-7725

Papillary Fibroelastoma Incidentally Found on Left Atrial Wall During Minimally Invasive Aortic Valve Replacement

Qasim Al Abri, Lamees I. El Nihum, M. Mujeeb Zubair, Roberto Barrios, Michael J. Reardon, Mahesh Ramchandani

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

A 60-year-old man was about to undergo minimally invasive aortic valve replacement when transesophageal echocardiography revealed an intracardiac mass on the left atrial free wall. Multimodal images from 5 months earlier had shown no mass. We converted the proce-dure to open surgery. The excised mass resembled a cardiac myxoma but was determined to be a papillary fibroelastoma. This case illustrates that papillary fibroelastomas can form and grow rapidly, warranting alertness for their unexpected discovery before and during cardiac surgical procedures.

Original language	English (US)
Article number	e217725
Journal	Texas Heart Institute Journal
Volume	49
Issue number	4
DOIs	https://doi.org/10.14503/THIJ-21-7725
State	Published - Jul 1 2022

Keywords

Cardiac papillary fibro-elastoma/diagnostic imaging
cardiac surgical procedures/ methods
fibroma/diag-nosis/surgery
heart neoplasms/surgery
treatment outcome
Echocardiography, Transesophageal
Humans
Middle Aged
Male
Cardiac Papillary Fibroelastoma
Fibroma/diagnosis
Myxoma
Heart Neoplasms/diagnosis
Aortic Valve/diagnostic imaging

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.14503/THIJ-21-7725

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title = "Papillary Fibroelastoma Incidentally Found on Left Atrial Wall During Minimally Invasive Aortic Valve Replacement",

abstract = "A 60-year-old man was about to undergo minimally invasive aortic valve replacement when transesophageal echocardiography revealed an intracardiac mass on the left atrial free wall. Multimodal images from 5 months earlier had shown no mass. We converted the proce-dure to open surgery. The excised mass resembled a cardiac myxoma but was determined to be a papillary fibroelastoma. This case illustrates that papillary fibroelastomas can form and grow rapidly, warranting alertness for their unexpected discovery before and during cardiac surgical procedures.",

keywords = "Cardiac papillary fibro-elastoma/diagnostic imaging, cardiac surgical procedures/ methods, fibroma/diag-nosis/surgery, heart neoplasms/surgery, treatment outcome, Echocardiography, Transesophageal, Humans, Middle Aged, Male, Cardiac Papillary Fibroelastoma, Fibroma/diagnosis, Myxoma, Heart Neoplasms/diagnosis, Aortic Valve/diagnostic imaging",

author = "Abri, {Qasim Al} and {El Nihum}, {Lamees I.} and Zubair, {M. Mujeeb} and Roberto Barrios and Reardon, {Michael J.} and Mahesh Ramchandani",

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AU - Abri, Qasim Al

AU - El Nihum, Lamees I.

AU - Zubair, M. Mujeeb

AU - Barrios, Roberto

AU - Reardon, Michael J.

AU - Ramchandani, Mahesh

PY - 2022/7/1

Y1 - 2022/7/1

N2 - A 60-year-old man was about to undergo minimally invasive aortic valve replacement when transesophageal echocardiography revealed an intracardiac mass on the left atrial free wall. Multimodal images from 5 months earlier had shown no mass. We converted the proce-dure to open surgery. The excised mass resembled a cardiac myxoma but was determined to be a papillary fibroelastoma. This case illustrates that papillary fibroelastomas can form and grow rapidly, warranting alertness for their unexpected discovery before and during cardiac surgical procedures.

AB - A 60-year-old man was about to undergo minimally invasive aortic valve replacement when transesophageal echocardiography revealed an intracardiac mass on the left atrial free wall. Multimodal images from 5 months earlier had shown no mass. We converted the proce-dure to open surgery. The excised mass resembled a cardiac myxoma but was determined to be a papillary fibroelastoma. This case illustrates that papillary fibroelastomas can form and grow rapidly, warranting alertness for their unexpected discovery before and during cardiac surgical procedures.

KW - Cardiac papillary fibro-elastoma/diagnostic imaging

KW - cardiac surgical procedures/ methods

KW - fibroma/diag-nosis/surgery

KW - heart neoplasms/surgery

KW - treatment outcome

KW - Echocardiography, Transesophageal

KW - Humans

KW - Middle Aged

KW - Male

KW - Cardiac Papillary Fibroelastoma

KW - Fibroma/diagnosis

KW - Myxoma

KW - Heart Neoplasms/diagnosis

KW - Aortic Valve/diagnostic imaging

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Papillary Fibroelastoma Incidentally Found on Left Atrial Wall During Minimally Invasive Aortic Valve Replacement

Abstract

Keywords

ASJC Scopus subject areas

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