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You are here: Contents > 2017 > Volume 26 Number 2 March 2017 > CASE REPORTS > Unusual Locations for Cardiac Papillary Fibroelastomas

Unusual Locations for Cardiac Papillary Fibroelastomas

Davide Carino1,2,4, Francesco Nicolini2, Alberto Molardi2, Clara Indira Dadamo3, Tiziano Gherli2

1Aortic Institute at Yale New Haven, Yale University School of Medicine, New Haven, CT, USA
2Cardiac Surgery Unit, Parma General Hospital, Parma, Italy
3Department of Biomedical, Biotechnological, and Translational Sciences, Unit of Pathology, University of Parma, Parma, Italy
4Electronic correspondence: davidecarino88@gmail.com

Papillary fibroelastomas (PFEs) are rare and benign cardiac tumors which usually are localized on the valves (mostly on the aortic valve), though they may originate also from the ventricles or atrial walls. Whilst, in the large majority of cases, these lesions are asymptomatic they may cause serious complications such as thromboembolic events, or more rarely valvular dysfunctions. Surgical excision is necessary for a symptomatic lesion. The management of asymptomatic lesions is not defined.  Herein are reported the details of a miniseries of six cases operated on at the authors’ institution between 2005 and 2015. A review of the current literature suggests that PFE is a rare but potentially treatable cause of thromboembolic events, and must be borne in mind during the differential diagnosis of cardioembolic stroke. The surgical excision of PFEs is safe and definitive.

The Journal of Heart Valve Disease 2017;26:226-230


Unusual Locations for Cardiac Papillary Fibroelastomas

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