title: Incidental tricuspid valve fibroelastoma associated with patent foramen ovale in a young female: Straightforward diagnosis but controversial management.
abstract: Papillary fibroelastoma is an uncommon primary cardiac tumor, predominantly associated with left-sided valvular endocardium. Affectation of tricuspid valve leaflets is rare, and management in asymptomatic patients remains controversial. We present a 30-year-old female referred for evaluation prior to bariatric surgery. A routine echocardiogram revealed a mobile cardiac mass attached to the tricuspid valve. A patent foramen ovale was also present. Tumor was surgically removed. Histology confirmed the definite diagnosis of a papillary fibroelastoma. In our case, the presence of a patent foramen ovale associated with the right-sided fibroelastoma was decisive in the decision for surgery.
authors.affiliation: Cardiology Department, Hospital Universitario Marques de Valdecilla, Santander, Spain.
authors.forename: Cristina
authors.identifier: http://orcid.org/0000-0002-4697-9395
authors.initials: C
authors.lastname: Ruisanchez
authors.affiliation: Cardiology Department, Hospital Universitario Marques de Valdecilla, Santander, Spain.
authors.forename: Angela
authors.initials: A
authors.lastname: Alonso
authors.affiliation: Cardiology Department, Hospital Universitario Marques de Valdecilla, Santander, Spain.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Carballo
authors.affiliation: Cardiology Department, Hospital Universitario Marques de Valdecilla, Santander, Spain.
authors.forename: Aritz
authors.initials: A
authors.lastname: Gil
authors.affiliation: Cardiology Department, Hospital Universitario Marques de Valdecilla, Santander, Spain.
authors.forename: Piedad
authors.initials: P
authors.lastname: Lerena
authors.affiliation: Cardiovascular Surgery Department, Hospital Universitario Marques de Valdecilla, Santander, Spain.
authors.forename: Jose Aurelio
authors.initials: JA
authors.lastname: Sarralde
authors.affiliation: Cardiology Department, Hospital Universitario Marques de Valdecilla, Santander, Spain.
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Ruano
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005260:Female; D005350:Fibroma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D054092:Foramen Ovale, Patent / Q000150:complications* / Q000175:diagnosis; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D033162:Incidental Findings; D014261:Tricuspid Valve / Q000000981:diagnostic imaging*
keywords: papillary fibroelastoma; patent foramen ovale; three-dimensional transesophageal echocardiography; tricuspid valve