title: Simultaneous papillary fibroelastomas of the pulmonary and aortic valves.
abstract: Cardiac papillary fibroelastomas (PFEs) are uncommon valve tumors. Multiple PFEs at the same or different locations in the heart account for less than 10% of patients with PFE. We herein describe a case of an asymptomatic PFE of both pulmonary and aortic valves which was incidentally diagnosed by echocardiography in a 60-year-old woman. Both PFEs were removed surgically without valve replacement. To our knowledge, this combination of lesions has not been previously reported. Even though PFEs are classified as benign cardiac tumors, they can present serious complications, such as embolic episodes, mechanical obstruction or valvular dysfunction. Valve-sparing shave excision of the lesions can be readily accomplished in most instances with good long-term results. All surgically removed valvular lesions should be histopathologically examined to confirm the echocardiographic diagnosis.
authors.affiliation: Service of Pathology, Marqués de Valdecilla University Hospital, Medical Faculty, University of Cantabria and IFIMAV, Santander, Spain. apavbj@humv.es
authors.forename: J Fernando
authors.initials: JF
authors.lastname: Val-Bernal
authors.forename: Carlos
authors.initials: C
authors.lastname: Neira
authors.forename: J Francisco
authors.initials: JF
authors.lastname: Nistal
authors.forename: Francisco J
authors.initials: FJ
authors.lastname: González-Vilchez
authors.forename: José M
authors.initials: JM
authors.lastname: González-Gay
authors.forename: Daniel
authors.initials: D
authors.lastname: Val
mesh_terms: D001021:Aortic Valve / Q000473:pathology*; D004452:Echocardiography; D005260:Female; D005350:Fibroma / Q000473:pathology* / Q000601:surgery; D006338:Heart Neoplasms / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D011664:Pulmonary Valve / Q000473:pathology*; D016896:Treatment Outcome