Papillary fibroelastoma of the pulmonary valve.
A papillary fibroelastoma is rare, but it is the most common primary tumor of the cardiac valves. Most papillary fibroelastomas affect the left-sided heart valves, such as the aortic and mitral valves; however, they also rarely affect the pulmonary valve. Generally, surgical removal is strongly recommended to prevent its potential thromboembolic risks, especially in cases of left-sided cardiac involvement. However, there are few reports on the treatment of asymptomatic, small, right-sided cardiac fibroelastomas. We present a rare case of an asymptomatic papillary fibroelastoma occurring on the pulmonary valve, which was detected by transthoracic echocardiography, transesophageal echocardiography, and a 64-slice cardiac computed tomography scan, and which was surgically removed.
Park
Mi Young
MY
Department of Cardiology, Korea University Hospital, 516 Gojan 1 dong, Danwon-ku, Ansan-si, Kyungki-do 425-727, South Korea.
Shin
Jae Seung
JS
Park
Heum Rye
HR
Lim
Hong Euy
HE
Ahn
Jeong Cheon
JC
Song
Woo Hyuk
WH
D000328:Adult; D003238:Connective Tissue / Q000473:pathology; D003937:Diagnosis, Differential; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D005350:Fibroma / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D008297:Male; D011664:Pulmonary Valve / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D013923:Thromboembolism / Q000517:prevention & control; D014057:Tomography, X-Ray Computed