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A papillary fibroelastoma with myxoma camouflage: a case report
BACKGROUND: Benign cardiac tumours are infrequent in clinical practice and, of these, cardiac myxoma is the one with the highest incidence. Given that a left intraventricular presentation is rare, other differential diagnoses such as papillary fibroelastoma should be considered. CASE SUMMARY: A 73-y...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9351726/ https://www.ncbi.nlm.nih.gov/pubmed/35935401 http://dx.doi.org/10.1093/ehjcr/ytac315 |
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author | Urmeneta Ulloa, Javier Martínez de Vega, Vicente Forteza Gil, Alberto Cabrera, José Ángel |
author_facet | Urmeneta Ulloa, Javier Martínez de Vega, Vicente Forteza Gil, Alberto Cabrera, José Ángel |
author_sort | Urmeneta Ulloa, Javier |
collection | PubMed |
description | BACKGROUND: Benign cardiac tumours are infrequent in clinical practice and, of these, cardiac myxoma is the one with the highest incidence. Given that a left intraventricular presentation is rare, other differential diagnoses such as papillary fibroelastoma should be considered. CASE SUMMARY: A 73-year-old woman patient with cardiac mass detected in transthoracic echocardiography (TTE) after a transient ischaemic attack. At TTE 2D–3D, a left intraventricular mass anchored at the level of the anterolateral papillary muscle was detected. Subsequently, cardiac magnetic resonance (CMR) was performed for mass characterization. This revealed behaviour in T1 (isointense with respect to myocardium), T2 (hyperintense), very prolonged T1-mapping (1848 msg), and T2-mapping (161 msg) values, without gadolinium uptake in the first-pass perfusion sequence, but with intense uptake in late enhancement sequences. Previous findings were compatible with a diagnosis of papillary fibroelastoma. The mass was resected intraoperatively and, although its macroscopic appearance pointed to a diagnosis of cardiac myxoma, it was finally confirmed to be a papillary fibroelastoma by pathological anatomy. DISCUSSION: In cases where the size of the mass and its mobility allow tissue characterization by CMR, a diagnosis of papillary fibroelastoma and its differentiation with cardiac myxoma are feasible by this cardiac imaging technique. |
format | Online Article Text |
id | pubmed-9351726 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-93517262022-08-05 A papillary fibroelastoma with myxoma camouflage: a case report Urmeneta Ulloa, Javier Martínez de Vega, Vicente Forteza Gil, Alberto Cabrera, José Ángel Eur Heart J Case Rep Case Report BACKGROUND: Benign cardiac tumours are infrequent in clinical practice and, of these, cardiac myxoma is the one with the highest incidence. Given that a left intraventricular presentation is rare, other differential diagnoses such as papillary fibroelastoma should be considered. CASE SUMMARY: A 73-year-old woman patient with cardiac mass detected in transthoracic echocardiography (TTE) after a transient ischaemic attack. At TTE 2D–3D, a left intraventricular mass anchored at the level of the anterolateral papillary muscle was detected. Subsequently, cardiac magnetic resonance (CMR) was performed for mass characterization. This revealed behaviour in T1 (isointense with respect to myocardium), T2 (hyperintense), very prolonged T1-mapping (1848 msg), and T2-mapping (161 msg) values, without gadolinium uptake in the first-pass perfusion sequence, but with intense uptake in late enhancement sequences. Previous findings were compatible with a diagnosis of papillary fibroelastoma. The mass was resected intraoperatively and, although its macroscopic appearance pointed to a diagnosis of cardiac myxoma, it was finally confirmed to be a papillary fibroelastoma by pathological anatomy. DISCUSSION: In cases where the size of the mass and its mobility allow tissue characterization by CMR, a diagnosis of papillary fibroelastoma and its differentiation with cardiac myxoma are feasible by this cardiac imaging technique. Oxford University Press 2022-07-29 /pmc/articles/PMC9351726/ /pubmed/35935401 http://dx.doi.org/10.1093/ehjcr/ytac315 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Urmeneta Ulloa, Javier Martínez de Vega, Vicente Forteza Gil, Alberto Cabrera, José Ángel A papillary fibroelastoma with myxoma camouflage: a case report |
title | A papillary fibroelastoma with myxoma camouflage: a case report |
title_full | A papillary fibroelastoma with myxoma camouflage: a case report |
title_fullStr | A papillary fibroelastoma with myxoma camouflage: a case report |
title_full_unstemmed | A papillary fibroelastoma with myxoma camouflage: a case report |
title_short | A papillary fibroelastoma with myxoma camouflage: a case report |
title_sort | papillary fibroelastoma with myxoma camouflage: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9351726/ https://www.ncbi.nlm.nih.gov/pubmed/35935401 http://dx.doi.org/10.1093/ehjcr/ytac315 |
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