Papillary fibroelastoma of the pulmonary valve

Heart Vessels. 2007 Jul;22(4):284-6. doi: 10.1007/s00380-006-0965-6. Epub 2007 Jul 20.

Abstract

A papillary fibroelastoma is rare, but it is the most common primary tumor of the cardiac valves. Most papillary fibroelastomas affect the left-sided heart valves, such as the aortic and mitral valves; however, they also rarely affect the pulmonary valve. Generally, surgical removal is strongly recommended to prevent its potential thromboembolic risks, especially in cases of left-sided cardiac involvement. However, there are few reports on the treatment of asymptomatic, small, right-sided cardiac fibroelastomas. We present a rare case of an asymptomatic papillary fibroelastoma occurring on the pulmonary valve, which was detected by transthoracic echocardiography, transesophageal echocardiography, and a 64-slice cardiac computed tomography scan, and which was surgically removed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Connective Tissue / pathology
  • Diagnosis, Differential
  • Echocardiography
  • Echocardiography, Transesophageal
  • Fibroma / diagnostic imaging*
  • Fibroma / pathology
  • Fibroma / surgery
  • Heart Neoplasms / diagnostic imaging*
  • Heart Neoplasms / pathology
  • Heart Neoplasms / surgery
  • Heart Valve Diseases / diagnostic imaging*
  • Heart Valve Diseases / pathology
  • Heart Valve Diseases / surgery
  • Humans
  • Incidental Findings
  • Male
  • Pulmonary Valve / diagnostic imaging*
  • Pulmonary Valve / pathology
  • Pulmonary Valve / surgery
  • Thromboembolism / prevention & control
  • Tomography, X-Ray Computed