An Unexpected Finding of a Papillary Fibroelastoma in the Left Ventricle of an Asymptomatic Patient—A Case Report
<b>Background and Clinical Significance:</b> Papillary Fibroelastoma is a benign primary cardiac tumor, commonly located in a valvular position, predominantly on the aortic valve. <b>Case Presentation</b>: We present a 73-year-old male patient with a medical history of chroni...
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2025-06-01
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| author | Nicole Piber Christian Nöbauer Bernhard Voss Markus Krane Stephanie Voss |
| author_facet | Nicole Piber Christian Nöbauer Bernhard Voss Markus Krane Stephanie Voss |
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| description | <b>Background and Clinical Significance:</b> Papillary Fibroelastoma is a benign primary cardiac tumor, commonly located in a valvular position, predominantly on the aortic valve. <b>Case Presentation</b>: We present a 73-year-old male patient with a medical history of chronic lymphatic leukemia, kidney failure, diabetes, and obstructive sleep apnea. In a routinely performed echocardiogram an abnormal structure in the left ventricle was found. The patient presented completely asymptomatically at the time of examination. A cardiac magnetic resonance-scan provided further information about the size and localization of the tumor in the left ventricle, which seemed to be attached to a papillary muscle and was about 1.6 cm in diameter. Due to visible scarring of the myocardia, which was identified in the scan, a cardiac catheter examination was performed. A coronary artery disease was detected with a severe stenosis in three vessels. During an elective bypass-operation, the removal of the structure was performed with an approach through the left atrium, passing the mitral valve using a valve sizer for better exposure. The tumor of 1 cm presented macroscopically with an anemone-like shape. The histopathological examination confirmed the intraoperative assumption of a papillary fibroelastoma, found in an aberrant location. <b>Conclusions</b>: Unexpectedly challenging surgical removals of structures in the left ventricle require innovative techniques with available instruments for better exposure. |
| format | Article |
| id | doaj-art-e6165c12f8d245e293b73b08eb50ac43 |
| institution | DOAJ |
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| language | English |
| publishDate | 2025-06-01 |
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| spelling | doaj-art-e6165c12f8d245e293b73b08eb50ac432025-08-20T03:16:39ZengMDPI AGReports2571-841X2025-06-01829010.3390/reports8020090An Unexpected Finding of a Papillary Fibroelastoma in the Left Ventricle of an Asymptomatic Patient—A Case ReportNicole Piber0Christian Nöbauer1Bernhard Voss2Markus Krane3Stephanie Voss4Department of Cardiovascular Surgery, German Heart Center Munich, School of Medicine & Health, Technical University of Munich, Institute Insure, Lazarettstraße 36, 80636 Munich, GermanyDepartment of Cardiovascular Surgery, German Heart Center Munich, School of Medicine & Health, Technical University of Munich, Institute Insure, Lazarettstraße 36, 80636 Munich, GermanyDepartment of Cardiovascular Surgery, German Heart Center Munich, School of Medicine & Health, Technical University of Munich, Institute Insure, Lazarettstraße 36, 80636 Munich, GermanyDepartment of Cardiovascular Surgery, German Heart Center Munich, School of Medicine & Health, Technical University of Munich, Institute Insure, Lazarettstraße 36, 80636 Munich, GermanyDepartment of Cardiovascular Surgery, German Heart Center Munich, School of Medicine & Health, Technical University of Munich, Institute Insure, Lazarettstraße 36, 80636 Munich, Germany<b>Background and Clinical Significance:</b> Papillary Fibroelastoma is a benign primary cardiac tumor, commonly located in a valvular position, predominantly on the aortic valve. <b>Case Presentation</b>: We present a 73-year-old male patient with a medical history of chronic lymphatic leukemia, kidney failure, diabetes, and obstructive sleep apnea. In a routinely performed echocardiogram an abnormal structure in the left ventricle was found. The patient presented completely asymptomatically at the time of examination. A cardiac magnetic resonance-scan provided further information about the size and localization of the tumor in the left ventricle, which seemed to be attached to a papillary muscle and was about 1.6 cm in diameter. Due to visible scarring of the myocardia, which was identified in the scan, a cardiac catheter examination was performed. A coronary artery disease was detected with a severe stenosis in three vessels. During an elective bypass-operation, the removal of the structure was performed with an approach through the left atrium, passing the mitral valve using a valve sizer for better exposure. The tumor of 1 cm presented macroscopically with an anemone-like shape. The histopathological examination confirmed the intraoperative assumption of a papillary fibroelastoma, found in an aberrant location. <b>Conclusions</b>: Unexpectedly challenging surgical removals of structures in the left ventricle require innovative techniques with available instruments for better exposure.https://www.mdpi.com/2571-841X/8/2/90papillary fibroelastomaleft ventricular masssurgical techniquescase report |
| spellingShingle | Nicole Piber Christian Nöbauer Bernhard Voss Markus Krane Stephanie Voss An Unexpected Finding of a Papillary Fibroelastoma in the Left Ventricle of an Asymptomatic Patient—A Case Report Reports papillary fibroelastoma left ventricular mass surgical techniques case report |
| title | An Unexpected Finding of a Papillary Fibroelastoma in the Left Ventricle of an Asymptomatic Patient—A Case Report |
| title_full | An Unexpected Finding of a Papillary Fibroelastoma in the Left Ventricle of an Asymptomatic Patient—A Case Report |
| title_fullStr | An Unexpected Finding of a Papillary Fibroelastoma in the Left Ventricle of an Asymptomatic Patient—A Case Report |
| title_full_unstemmed | An Unexpected Finding of a Papillary Fibroelastoma in the Left Ventricle of an Asymptomatic Patient—A Case Report |
| title_short | An Unexpected Finding of a Papillary Fibroelastoma in the Left Ventricle of an Asymptomatic Patient—A Case Report |
| title_sort | unexpected finding of a papillary fibroelastoma in the left ventricle of an asymptomatic patient a case report |
| topic | papillary fibroelastoma left ventricular mass surgical techniques case report |
| url | https://www.mdpi.com/2571-841X/8/2/90 |
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