Cargando…

Surgical treatment of papillary fibroelastoma of the pulmonary valve: a case report

BACKGROUND: Cardiac papillary fibroelastoma (PFE) is a rare tumor, and especially rare when found on the pulmonary valve. CASE PRESENTATION: We report the case of a 70-year-old woman patient with a pulmonary valve PFE diagnosed incidentally during a follow-up of aortic regurgitation. Computed tomogr...

Descripción completa

Detalles Bibliográficos
Autores principales: Uehara, Hiroo, Uchiyama, Masateru, Hori, Takayuki, Iida, Mitsuru, Imazuru, Tomohiro, Shimokawa, Tomoki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9185924/
https://www.ncbi.nlm.nih.gov/pubmed/35681148
http://dx.doi.org/10.1186/s13019-022-01909-4
_version_ 1784724825045991424
author Uehara, Hiroo
Uchiyama, Masateru
Hori, Takayuki
Iida, Mitsuru
Imazuru, Tomohiro
Shimokawa, Tomoki
author_facet Uehara, Hiroo
Uchiyama, Masateru
Hori, Takayuki
Iida, Mitsuru
Imazuru, Tomohiro
Shimokawa, Tomoki
author_sort Uehara, Hiroo
collection PubMed
description BACKGROUND: Cardiac papillary fibroelastoma (PFE) is a rare tumor, and especially rare when found on the pulmonary valve. CASE PRESENTATION: We report the case of a 70-year-old woman patient with a pulmonary valve PFE diagnosed incidentally during a follow-up of aortic regurgitation. Computed tomography and magnetic resonance imaging showed no suggestive signs of malignant tumors, and thrombus or myxoma was initially suspected. However, an initial transthoracic and transesophageal echocardiogram did not exclude the possibility of a malignant tumor attached to the wall of the pulmonary artery. Considering the embolization risk, we opted to perform tumorectomy, in which additional surgical procedures could then be conducted if intraoperative diagnosis showed a malignant tumor. Indeed, intraoperative findings showed the tumoral mass attached on the left semilunar cusp of the pulmonary valve, and intraoperative diagnosis of the tumor showed no malignancy. Planned tumorectomy was performed concomitantly with AVR. The pathologic examination of the removed tumor confirmed the diagnosis of PFE. Her postoperative course was uneventful without any sign of recurrence. CONCLUSION: This case highlights the difficulty of accurate diagnostic imaging and provides valuable insight into a successful surgical treatment of pulmonary valve PFE without any complications.
format Online
Article
Text
id pubmed-9185924
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-91859242022-06-11 Surgical treatment of papillary fibroelastoma of the pulmonary valve: a case report Uehara, Hiroo Uchiyama, Masateru Hori, Takayuki Iida, Mitsuru Imazuru, Tomohiro Shimokawa, Tomoki J Cardiothorac Surg Case Report BACKGROUND: Cardiac papillary fibroelastoma (PFE) is a rare tumor, and especially rare when found on the pulmonary valve. CASE PRESENTATION: We report the case of a 70-year-old woman patient with a pulmonary valve PFE diagnosed incidentally during a follow-up of aortic regurgitation. Computed tomography and magnetic resonance imaging showed no suggestive signs of malignant tumors, and thrombus or myxoma was initially suspected. However, an initial transthoracic and transesophageal echocardiogram did not exclude the possibility of a malignant tumor attached to the wall of the pulmonary artery. Considering the embolization risk, we opted to perform tumorectomy, in which additional surgical procedures could then be conducted if intraoperative diagnosis showed a malignant tumor. Indeed, intraoperative findings showed the tumoral mass attached on the left semilunar cusp of the pulmonary valve, and intraoperative diagnosis of the tumor showed no malignancy. Planned tumorectomy was performed concomitantly with AVR. The pathologic examination of the removed tumor confirmed the diagnosis of PFE. Her postoperative course was uneventful without any sign of recurrence. CONCLUSION: This case highlights the difficulty of accurate diagnostic imaging and provides valuable insight into a successful surgical treatment of pulmonary valve PFE without any complications. BioMed Central 2022-06-09 /pmc/articles/PMC9185924/ /pubmed/35681148 http://dx.doi.org/10.1186/s13019-022-01909-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Uehara, Hiroo
Uchiyama, Masateru
Hori, Takayuki
Iida, Mitsuru
Imazuru, Tomohiro
Shimokawa, Tomoki
Surgical treatment of papillary fibroelastoma of the pulmonary valve: a case report
title Surgical treatment of papillary fibroelastoma of the pulmonary valve: a case report
title_full Surgical treatment of papillary fibroelastoma of the pulmonary valve: a case report
title_fullStr Surgical treatment of papillary fibroelastoma of the pulmonary valve: a case report
title_full_unstemmed Surgical treatment of papillary fibroelastoma of the pulmonary valve: a case report
title_short Surgical treatment of papillary fibroelastoma of the pulmonary valve: a case report
title_sort surgical treatment of papillary fibroelastoma of the pulmonary valve: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9185924/
https://www.ncbi.nlm.nih.gov/pubmed/35681148
http://dx.doi.org/10.1186/s13019-022-01909-4
work_keys_str_mv AT ueharahiroo surgicaltreatmentofpapillaryfibroelastomaofthepulmonaryvalveacasereport
AT uchiyamamasateru surgicaltreatmentofpapillaryfibroelastomaofthepulmonaryvalveacasereport
AT horitakayuki surgicaltreatmentofpapillaryfibroelastomaofthepulmonaryvalveacasereport
AT iidamitsuru surgicaltreatmentofpapillaryfibroelastomaofthepulmonaryvalveacasereport
AT imazurutomohiro surgicaltreatmentofpapillaryfibroelastomaofthepulmonaryvalveacasereport
AT shimokawatomoki surgicaltreatmentofpapillaryfibroelastomaofthepulmonaryvalveacasereport