title: Tricuspid valve papillary fibroelastoma: a rare tumor with a diagnostic dilemma.
abstract: Papillary fibroelastoma is a rare primary tumor of the heart valves. This lesion can occur on any of the valves or endothelial surface of the heart and has been detected by echocardiography, by cardiac catheterization, during open heart operations for other conditions, and at autopsy. Because of the potential for comorbidities, this tumor should be removed. We present the case of an elderly man with a diagnosis of severe mitral valve regurgitation and moderate tricuspid valve regurgitation who was suspected to have a tricuspid valve vegetation. Mitral valve replacement, tricuspid valve repair, and excision of the lesion were performed successfully. A histologic examination of the vegetation confirmed it to be a papillary fibroelastoma. We present this case to emphasize the rarity of this tumor and the importance of a correct diagnosis to avoid delaying its prompt and definitive management.
authors.affiliation: Heart and Lung Centre, Universiti Kebangsaaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
authors.forename: Hairulfaizi
authors.initials: H
authors.lastname: Haron
authors.forename: Mohd Rizal Mohd
authors.initials: MR
authors.lastname: Yusof
authors.forename: Oteh
authors.initials: O
authors.lastname: Maskon
authors.forename: Joanna
authors.initials: J
authors.lastname: Ooi
authors.forename: Mohd Ramzisham Abdul
authors.initials: MR
authors.lastname: Rahman
mesh_terms: D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005350:Fibroma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D010210:Papillary Muscles / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D012214:Rheumatic Heart Disease / Q000175:diagnosis; D014261:Tricuspid Valve / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014463:Ultrasonography
chemical_list: D000935:Antifungal Agents