title: Rapid Development of a Papillary Fibroelastoma with Associated Thrombus: The Role of Transthoracic and Transesophageal Echocardiography.
abstract: Transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) are frequently utilized in patient's with suspected cerebral vascular ischemia. We describe a patient with suspected cerebral vascular ischemic event whom was found to have a mobile valvular mass by TTE and TEE. The lesion was unusual due to its rapid development over a period 6 months, which was documented on serial echocardiography. The mass was excised surgically and pathology showed a papillary fibroelastoma with extensive thrombus. The differential diagnosis of a cardiac valvular mass and the treatment of cardiac fibroelastomas are reviewed. In this case, both TTE and TEE were valuable in diagnosis and facilitating surgical management of a cardiac fibroelastoma.
authors.affiliation: Albert Einstein Medical Center, Suite 363, Klein Building, 5401 Old York Road, Philadelphia, PA 19141.
authors.forename: Ian I.
authors.lastname: Joffe
authors.forename: Larry E.
authors.initials: LE
authors.lastname: Jacobs
authors.forename: Alyson N.
authors.initials: AN
authors.lastname: Owen
authors.forename: Alfred
authors.initials: A
authors.lastname: Ioli
authors.forename: Morris N.
authors.initials: MN
authors.lastname: Kotler