Prospective assessment of multiple cardiac papillary fibroelastomas: an echocardiographic and surgical study.
Multiple cardiac papillary fibroelastomas (PFEs) are thought to account for less than 10% of patients with PFE. We aimed at evaluating the frequency and location of multiple PFEs and the reliability of transthoracic (TTE) and transoesophageal (TEE) echocardiography in diagnosing multiple PFEs. Twenty-six consecutive patients (52±14 years, 65% males) with pathologically confirmed PFE had 21 PFEs diagnosed by TTE, 33 by TEE, and 62 at surgery. Eight patients (31%) had multiple PFEs found either by TEE or at surgery. Aortic valve was involved in 75% of patients with multiple PFEs and left ventricle in 38% of patients. The sensitivity of TTE in diagnosing any PFEs was 51.3% and 76.9% for TEE. Our study emphasizes the high frequency of multiple PFEs, the need of TEE for all presumed PFE and the need for careful assessment of left-sided endocardial surfaces, especially of the aortic valve, during PFE excision.
Le Tourneau
Thierry
T
CHU Lille, Hopital Cardiologique, Lille F-59045, France; CHU Nantes, l'Institut du Thorax, Nantes F-4400, France; University Lille 2, Institut Fédératif de Recherche 114, EA 2693, Faculté de Médecine, Lille F-59045, France. Electronic address: thletourneau@yahoo.fr.
Betto
Mohamad
M
CHU Lille, Hopital Cardiologique, Lille F-59045, France.
Richardson
Marjorie
M
CHU Lille, Hopital Cardiologique, Lille F-59045, France.
Juthier
Francis
F
CHU Lille, Hopital Cardiologique, Lille F-59045, France; University Lille 2, Institut Fédératif de Recherche 114, EA 2693, Faculté de Médecine, Lille F-59045, France.
Ennezat
Pierre Vladimir
PV
CHU Lille, Hopital Cardiologique, Lille F-59045, France; University Lille 2, Institut Fédératif de Recherche 114, EA 2693, Faculté de Médecine, Lille F-59045, France.
Polge
Anne-Sophie
AS
CHU Lille, Hopital Cardiologique, Lille F-59045, France.
Bauters
Christophe
C
CHU Lille, Hopital Cardiologique, Lille F-59045, France.
Vincentelli
André
A
CHU Lille, Hopital Cardiologique, Lille F-59045, France; University Lille 2, Institut Fédératif de Recherche 114, EA 2693, Faculté de Médecine, Lille F-59045, France.
Deklunder
Ghislaine
G
CHU Lille, Hopital Cardiologique, Lille F-59045, France.
D000328:Adult; D000368:Aged; D017548:Echocardiography, Transesophageal / Q000379:methods; D005260:Female; D005350:Fibroma / Q000000981:diagnostic imaging* / Q000601:surgery*; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010210:Papillary Muscles / Q000000981:diagnostic imaging* / Q000601:surgery*; D011446:Prospective Studies