Mitral valve repair for anterior leaflet papillary fibroelastoma: two case descriptions and a literature review
| Autor: | Alessio Assaghi, Andrea Mangini, Sergio Ravagnan, Sara Bonetto, Daniel Giorgio Di Mattia, Pino Fundaro |
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| Rok vydání: | 1999 |
| Předmět: |
Pulmonary and Respiratory Medicine
Adult Male medicine.medical_specialty Heart disease medicine.medical_treatment Fibroma Asymptomatic Sudden death Heart Neoplasms Internal medicine Mitral valve medicine Humans cardiovascular diseases Myocardial infarction Cardiac Surgical Procedures Mitral valve repair Cardiopulmonary Bypass business.industry Mitral Valve Insufficiency General Medicine Middle Aged Papillary Muscles medicine.disease Surgery medicine.anatomical_structure Papillary fibroelastoma Heart failure cardiovascular system Cardiology Mitral Valve medicine.symptom Cardiology and Cardiovascular Medicine business Echocardiography Transesophageal Follow-Up Studies |
| Zdroj: | European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. 15(1) |
| ISSN: | 1010-7940 |
| Popis: | Cardiac papillary fibroelastomas are rare cardiac tumors and have been considered a 'benign' incidental finding that may have significant clinical manifestations. In this paper we report two cases of mitral valve fibroelastoma: one was discovered by chance with transthoracic echocardiography in a young healthy man, the other was an intraoperative incidental finding in a middle aged man with a recent history of acute myocardial infarction. The mitral valve was repaired in both cases after excising the tumor. The patients did well and remain asymptomatic. A literature review was compiled which comprises previous case reports of 34 patients with mitral valve papillary fibroelastomas. Most were asymptomatic, but when symptoms occurred, they could be disabling, such as stroke, cardiac heart failure, myocardial infarction, and sudden death. Papillary fibroelastoma is amenable to simple surgical excision or in addition to mitral valve repair or replacement. Recurrence has not been reported. |
| Databáze: | OpenAIRE |
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