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Revista Colombiana de Cardiología

versión impresa ISSN 0120-5633

Resumen

GUERRERO, Albert F. et al. Incidental or symptomatic papillary fibroelastoma: Should it be treated?. Rev. Colomb. Cardiol. [online]. 2017, vol.24, n.5, pp.514-514.  Epub 05-Sep-2017. ISSN 0120-5633.  http://dx.doi.org/10.1016/j.rccar.2017.05.007.

The papillary fibroelastoma, also known as fibroelastic papilloma, is a fairly uncommon benign tumour that can be found in cardiac valves or, in some occasions in the ventricular endocardium.

Two cases are presented, with the first corresponding to a 72 year-old patient with intermittent atrial fibrillation, with no other symptoms. During the study of the atrial fibrillation, a pedunculated mass of 1 × 1 cm was observed hanging from the pulmonary valve. Due to the risk of emboli, the patient was taken to surgery where the mass was resected with no complications. The histopathology reported positive for a papillary fibroelastoma.

The second case was a 67 year-old patient with symptoms of with angina of effort, which on observing a mass of 1.5 × 1.5 cm hanging from the right coronary valve, they were considered as symptoms secondary induced by the mass. He was taken to surgery, and the mass was resected using a minimally invasive technique. The histopathology reported positive for a papillary fibroelastoma.

Conclusion:

Papillary fibroelastoma is a rare cause, but increasingly recognised due to its embolic phenomena. Their timely identification allows the lesion to be extirpated, which is apparently curative, safe and well tolerated.

Palabras clave : Tumours; Cardiac surgery.

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