Successful early resection of cardiac papillary fibroelastomas

Two adult patients with previous transient cerebral ischemic attacks (TIAs) or chest oppression were referred for further investigation. A swaying pedicled tumor was detected in the left atrium of the former patient and in the left coronary cusp of the latter by echocardiography. The TIA, or angina-...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2011-03, Vol.59 (3), p.191-194
Main Authors: Kurobe, Hirotsugu, Kanbara, Tamotsu, Yoshida, Homare, Motoki, Tatsuo, Sugano, Mikio, Nakayama, Taisuke, Kitaichi, Takashi, Kitagawa, Tetsuya
Format: Article
Language:English
Subjects:
Aged
Biopsy
Cardiac Surgery
Cardiac Surgical Procedures
Cardiology
Case Report
Echocardiography, Transesophageal
Fibroma - complications
Fibroma - diagnosis
Fibroma - surgery
Heart Neoplasms - complications
Heart Neoplasms - diagnosis
Heart Neoplasms - surgery
Humans
Ischemic Attack, Transient - etiology
Male
Medicine
Medicine & Public Health
Middle Aged
Surgical Oncology
Thoracic Surgery
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Two adult patients with previous transient cerebral ischemic attacks (TIAs) or chest oppression were referred for further investigation. A swaying pedicled tumor was detected in the left atrium of the former patient and in the left coronary cusp of the latter by echocardiography. The TIA, or angina-like attack, was anticipated to be caused by thromboembolism of the tumor. Both patients underwent tumor extirpation. The histological findings demonstrated that both tumors were benign papillary fibroelastoma limited to the endocardium/endothelium layer. In conclusion, early surgical resection of a cardiac papillary fibroelastoma should be performed.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-010-0654-3