title: Multimodality cardiac imaging of a left ventricular papillary fibroelastoma: a case report.
abstract: BACKGROUND
  In the setting of an acute myocardial infarction (AMI), although the most common etiology of a left ventricular (LV) mass identified on multimodality cardiovascular imaging is a thrombus, other possibilities including a vegetation or tumor should be entertained within the differential diagnosis.
  
  
  METHODS
  We describe a case of a 43-year-old Caucasian female post AMI diagnosed with a mid-cavitary mass within the LV. Although echocardiography and cardiovascular MRI (CMR) suggested that the mass was a thrombus, given the context of the recent AMI, exploration and surgical excision was completed by the surgeon due to the potential for the mass to embolize.
  
  
  CONCLUSIONS
  The final diagnosis of a papillary fibroelastoma was unique due to its unusual location and large size within the LV cavity. This unique case demonstrates shortcomings of multimodality cardiac imaging in the diagnosis of an atypical mass and the importance of obtaining tissue when clinically safe and feasible.
authors.affiliation: Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, Rm Y3531, Bergen Cardiac Care Centre, St. Boniface Hospital, University of Manitoba, 409 Tache Avenue, Winnipeg, Manitoba, Canada, R2H 2A6.
authors.forename: Rajat
authors.initials: R
authors.lastname: Sharma
authors.affiliation: Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, Rm Y3531, Bergen Cardiac Care Centre, St. Boniface Hospital, University of Manitoba, 409 Tache Avenue, Winnipeg, Manitoba, Canada, R2H 2A6.
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Golian
authors.affiliation: Section of Cardiac Surgery, Department of Surgery, Max Rady College of Medicine, Rady Faculty of Health Sciences, Rm Y3531, Bergen Cardiac Care Centre, St. Boniface Hospital, University of Manitoba, 409 Tache Avenue, Winnipeg, Manitoba, Canada, R2H 2A6.
authors.forename: Pallav
authors.initials: P
authors.lastname: Shah
authors.affiliation: Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, Rm Y3531, Bergen Cardiac Care Centre, St. Boniface Hospital, University of Manitoba, 409 Tache Avenue, Winnipeg, Manitoba, Canada, R2H 2A6. djassal@sbgh.mb.ca.|Department of Radiology, Max Rady College of Medicine, Rady Faculty of Health Sciences, Rm Y3531, Bergen Cardiac Care Centre, St. Boniface Hospital, University of Manitoba, 409 Tache Avenue, Winnipeg, Manitoba, Canada, R2H 2A6. djassal@sbgh.mb.ca.|Institute of Cardiovascular Sciences, St. Boniface Albrechtsen Research Centre, University of Manitoba, 351 Tache Avenue, Winnipeg, Manitoba, Canada, R2H 2A6. djassal@sbgh.mb.ca.
authors.forename: Davinder S
authors.initials: DS
authors.lastname: Jassal
authors.affiliation: Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, Rm Y3531, Bergen Cardiac Care Centre, St. Boniface Hospital, University of Manitoba, 409 Tache Avenue, Winnipeg, Manitoba, Canada, R2H 2A6.
authors.forename: Nasir
authors.initials: N
authors.lastname: Shaikh
mesh_terms: D000328:Adult; D002319:Cardiovascular System; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000473:pathology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D003937:Diagnosis, Differential; D050171:Dyslipidemias / Q000150:complications; D004452:Echocardiography; D005260:Female; D006338:Heart Neoplasms / Q000150:complications / Q000473:pathology*; D006352:Heart Ventricles / Q000000981:diagnostic imaging* / Q000473:pathology*; D006801:Humans; D006973:Hypertension / Q000150:complications; D008279:Magnetic Resonance Imaging; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology*; D017202:Myocardial Ischemia / Q000150:complications; D013927:Thrombosis / Q000503:physiopathology
keywords: Cardiac MRI; Echocardiography; Papillary fibroelastoma