Simultaneous papillary fibroelastomas of the pulmonary and aortic valves.

Autor: Val-Bernal JF; Service of Pathology, Marqués de Valdecilla University Hospital, Medical Faculty, University of Cantabria and IFIMAV, Santander, Spain. apavbj@humv.es, Neira C, Nistal JF, González-Vilchez FJ, González-Gay JM, Val D
Jazyk: angličtina
Zdroj: Pathology, research and practice [Pathol Res Pract] 2012 May 15; Vol. 208 (5), pp. 315-7. Date of Electronic Publication: 2012 Apr 09.
DOI: 10.1016/j.prp.2012.03.002
Abstrakt: Cardiac papillary fibroelastomas (PFEs) are uncommon valve tumors. Multiple PFEs at the same or different locations in the heart account for less than 10% of patients with PFE. We herein describe a case of an asymptomatic PFE of both pulmonary and aortic valves which was incidentally diagnosed by echocardiography in a 60-year-old woman. Both PFEs were removed surgically without valve replacement. To our knowledge, this combination of lesions has not been previously reported. Even though PFEs are classified as benign cardiac tumors, they can present serious complications, such as embolic episodes, mechanical obstruction or valvular dysfunction. Valve-sparing shave excision of the lesions can be readily accomplished in most instances with good long-term results. All surgically removed valvular lesions should be histopathologically examined to confirm the echocardiographic diagnosis.
(Copyright © 2012 Elsevier GmbH. All rights reserved.)
Databáze: MEDLINE
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