Cardiac Papillary Fibroelastoma with Coronary Artery Anomaly: A Case Report

Authors

  • Hongfei Xu Department of Thoracic and Cardiovascular Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou
  • Liangwei Chen Department of Thoracic and Cardiovascular Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou
  • Chengmeng Ye Department of Thoracic and Cardiovascular Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou
  • Kwabena Gyabaah Owusu-Ansah Department of General Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou
  • Yiming Ni Department of Thoracic and Cardiovascular Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou
  • Weidong Li Department of Thoracic and Cardiovascular Surgery, First Affiliated Hospital of Zhejiang University, Hangzhou

DOI:

https://doi.org/10.1532/hsf.1643

Abstract

Primary cardiac tumors are extremely rare with occurrence range of about 0.0017-0.28%. Papillary fibroelastoma is a benign cardiac neoplasms. Improvement in the early diagnosis has been made possible with the help of high-resolution imaging technology, such as transesophageal echocardiography, combined with ischemic or embolic complications which patients typically present with clinically. We herein present a 51-year-old female patient with a papillary fibroelastoma on the aortic cusp, with its origin from the left coronary sinus. Her only clinical manifestation was angina-like chest pain and syncope. Surgical resection with aortic valve replacement due to the defect as a result of the resected tumor was performed with the patient on cardiopulmonary bypass. The patient recovered uneventfully and was discharged.  A 2-year follow-up showed an intact valve without tumor recurrence.

References

Bicer M, Cikirikcioglu M, Pektok E, Muller H, Dettwiler S, Kalangos A. 2009. Papillary fibroelastoma of the left atrial wall: a case report. J Cardiothorac Surg 4:28.

Boodhwani M, Veinot JP, Hendry PJ. 2007. Surgical approach to cardiac papillary fibroelsatomas. Can J Cardiol 23:301-2.

Chia PL. 2009. Incidental finding of an aortic valve mass on 64-slice computed tomographic coronary angiography. Annals Academy Med 38:926-7.

Gowda RM1, Khan IA, Nair CK, Mehta NJ, Vasavada BC, Sacchi TJ. 2003. Cardiac papillary fibroelastoma: A comprehensive analysis of 725 cases. Am Heart J 146:404-10.

Grinda JM, Couetil JP, Chauvaud S, et al. 1999. Cardiac valve papillary fibroelastoma: surgical excision for revealed or potential embolization. J Thorac Cardiovasc Surg 117:106-10.

Hirotsugu K, Tamotsu K, Homare Y, et al. 2011. Successful early resection of cardiac papillary fibroelastoma. Gen Thorac Cardiovasc Surg 59:191-4.

Shi J, Bai ZX, Zhang BG, Guo YQ. 2016. Papillary fibroelastoma of the aortic valve in association with rheumatic heart disease: a case report. J Cardiothorac Surg 11:6.

Sun JP, Asher CR, Yang XS, Cheng GG, Scalia GM, Massed AG. 2001. Clinical and echocardiographic characteristics of papillary fibroelastomas: a retrospective and prospective study in 162 patients. Circulation 103:2687-93.

Wang Y, Wang XF, Xiao YB. 2016. Surgical treatment of primary cardiac valve tumor: early and late results in eight patients. J Cardiothorac Surg 11:31.

Yater WM. 1931. Tumors of the heart and pericardium: pathology, symptomatology and report of nine cases. Arch Intern Med

:627-66.

Published

2017-04-28

How to Cite

Xu, H., Chen, L., Ye, C., Owusu-Ansah, K. G., Ni, Y., & Li, W. (2017). Cardiac Papillary Fibroelastoma with Coronary Artery Anomaly: A Case Report. The Heart Surgery Forum, 20(2), E052-E054. https://doi.org/10.1532/hsf.1643

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Section

Articles