Papillary fibroelastoma of the heart

Gegouskov, Vassil; Kadner, Alexander; Engelberger, Lars; Carrel, Thierry; Tevaearai, Hendrik (2008). Papillary fibroelastoma of the heart. Heart surgery forum, 11(6), E333-9. Charlottesville, Va.: Forum Multimedia Pub. 10.1532/HSF98.20081091

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BACKGROUND: Fibroelastoma is a rare cardiac tumor that was originally described typically from autopsy findings. Thanks to improved imaging modalities, such tumors are today relatively easy to detect and therefore are actively searched for in patients with unclear embolic events. We present the cases of 2 patients recently treated in our clinic and review the recent literature pertaining to fibroelastomas. METHODS AND RESULTS: An electronic PubMed search revealed 186 cases reported between 1994 and 2003. Ninety-seven percent of the reported fibroelastomas were diagnosed in living patients in their fourth and fifth decades of life. The majority (86%) were symptomatic, with stroke, transient ischemic attack, myocardial infarction, and angina pectoris being the most commonly described. Echocardiography was the typical diagnosis modality. Surgical resection was completed in 95% of the cases. CONCLUSIONS: Although cardiac papillary fibroelastomas are rare and benign tumors, they cannot be considered as harmless endothelial lesions, because related embolic events are frequent and primarily involve adults in their active period of life. Echocardiography must therefore consider fibroelastoma in the differential diagnosis of every unclear systemic embolic event, especially because surgical resection can be considered as curative.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Kadner, Alexander; Englberger, Lars; Carrel, Thierry and Tevaearai, Hendrik

ISSN:

1098-3511

ISBN:

19073529

Publisher:

Forum Multimedia Pub.

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:05

Last Modified:

04 May 2014 23:20

Publisher DOI:

10.1532/HSF98.20081091

PubMed ID:

19073529

Web of Science ID:

000265130600002

URI:

https://boris.unibe.ch/id/eprint/28282 (FactScience: 119540)

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