Papillary fibroelastoma involving the left ventricular wall.
A 71-year-old white woman presented to her primary care physician for a routine visit and was found to have a new, previously undocumented cardiac murmur. A subsequent transthoracic echocardiogram revealed a 1 cm mobile mass arising from the lateral free wall of the left ventricle. Transesophageal echocardiography later confirmed these findings. The patient underwent a left ventriculotomy and excision of a.7 cm friable mass, which was later identified as a papillary fibroelastoma (PFE) by routine histopathologic studies. We present this unique case ith a review of the literature.
Schoondyke
Jeffrey W
JW
Department of Cardiology, East Tennessee State University, Johnson City, Tennessee, USA.
Burress
Jonathan W
JW
Shabaneh
Bahaeddin
B
Giorgadze
Tamar A
TA
Costello
Patrick N
PN
Fahrig
Stephen
S
Whitaker
Jack
J
D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods; D004452:Echocardiography; D005260:Female; D005350:Fibroma / Q000175:diagnosis* / Q000601:surgery; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000601:surgery; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans