Nonsurgical management of a left ventricular pedunculated papillary fibroelastoma: a case report

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
Halil MutluWilliam K Levy

Abstract

Papillary fibroelastoma (PFE) is a benign cardiac tumor that has the potential to cause life-threatening embolic events. Surgical excision of the tumor is recommended for all patients who develop symptoms, but the treatment of asymptomatic patients with an echocardiographically identified PFE is still controversial. Our case report describes a 63-year-old patient with the incidental finding of a probable left ventricular PFE. The patient was not a candidate for surgical excision of this tumor because of comorbidities and refusal to undergo surgery. The patient was followed up during a period of 4 years and was kept on anticoagulation with warfarin. During this follow-up period, the patient developed no symptoms or complications attributable to the cardiac tumor. This is the first case reported in the literature with left ventricular mobile PFE conservatively managed for a duration of more than 4 years. Randomized controlled trials regarding the best management for such incidental PFEs may be needed.

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Citations

Sep 17, 2009·General Thoracic and Cardiovascular Surgery·Akinobu SasakiTomoaki Jikuya
Sep 8, 2009·Cardiovascular Ultrasound·Sang-Hoon SeolDoo-Il Kim
May 18, 2010·Annals of Diagnostic Pathology·Deepali JainMarc K Halushka
Dec 10, 2009·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Marcus Lund FrølichEva Gerdts
Apr 23, 2014·Journal of cardiovascular ultrasound·Guang-Won SeoDoo-Il Kim
Aug 14, 2010·Journal of cardiovascular ultrasound·Jin-Han ParkDong-Soo Kim
Jul 27, 2021·Case Reports in Cardiology·Antonino M GrandeAntonio Fiore

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