Papillary fibroelastoma presenting with multi-organ symptoms

Autor: Jason G. Kaplan, Arjun Kanwal, Justin Bahoora, John Berquist, Victor Hunyadi, Richard Keirn
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Community Hospital Internal Medicine Perspectives, Vol 10, Iss 6, Pp 597-599 (2020)
Druh dokumentu: article
ISSN: 2000-9666
20009666
DOI: 10.1080/20009666.2020.1811067
Popis: Papillary fibroelastomas are a rare cardiac neoplasm typically found on the left side of the heart, and most commonly on the aortic valve, which can present with cardiac or neurologic symptoms. A 51-year-old woman with no cardiac history presented to a resident clinic with complaints of left-sided facial paresthesias and palpitations for 1 month. Echocardiographic imaging showed a mass on the aortic annulus, concerning for a cardiac tumor. Due to the risk of possible embolization, if the tumor was a myxoma, the patient required intrathoracic surgery. During the intrathoracic procedure the mass was confirmed to be a papillary fibroelastoma and the patient had the mass removed without any complications. Papillary fibroelastomas are found in less than 1% of the population but can present clinically with a wide variety of symptoms. Patients with this neoplasm are at risk for severe complications, due to embolization, potentially causing cerebrovascular accidents or myocardial infarctions. We present a case of a papillary fibroelastoma producing both cardiac and neurologic symptoms.
Databáze: Directory of Open Access Journals
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