Publication Date

7-1-2022

Journal

The Texas Heart Journal

DOI

10.14503/THIJ-21-7725

PMID

35994342

Publication Date(s)

July 2022

Language

English

PMCID

PMC9427062

PubMedCentral® Posted Date

8-22-2022

PubMedCentral® Full Text Version

Post-Print

Published Open-Access

yes

Keywords

Cardiac papillary fibroelastoma/diagnostic imaging, cardiac surgical procedures/methods, fibroma/diagnosis/surgery, heart neoplasms/surgery, treatment outcome

Abstract

A 60-year-old man was about to undergo minimally invasive aortic valve replacement when transesophageal echocardiography revealed an intracardiac mass on the left atrial free wall. Multimodal images from 5 months earlier had shown no mass. We converted the procedure to open surgery. The excised mass resembled a cardiac myxoma but was determined to be a papillary fibroelastoma. This case illustrates that papillary fibroelastomas can form and grow rapidly, warranting alertness for their unexpected discovery before and during cardiac surgical procedures.

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