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Tex Heart Inst J. 2012;39(5):731-5.

Incidental papillary fibroelastoma multimodal: imaging and surgical decisions in 2 patients.

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Department of Cardiology, Heart Failure Clinic, and Echo Core Lab, Charles Nicolle Hospital, Rouen University Hospital, 76031 Rouen, France.


Papillary fibroelastoma is a rare, benign cardiac tumor typically found on the heart valves. It is usually discovered incidentally on echocardiography. The clinical presentation of cardiac papillary fibroelastoma varies from no symptoms to severe embolic sequelae. We report the incidental finding of papillary fibroelastoma in 2 patients. In each, we chose to excise the tumor. The relevant medical literature provides little guidance regarding whether to excise a small papillary fibroelastoma in an asymptomatic patient. Multimodal imaging, which we discuss in the context of our patients' cases, aids the cardiologist and cardiovascular surgeon in more accurately evaluating papillary fibroelastoma preoperatively.


Chordae tendineae/pathology/ultrasonography; echocardiography; fibroma/epidemiology/pathology/surgery; heart neoplasms/diagnosis/epidemiology/pathology/surgery/ultrasonography; heart valves/pathology; incidental findings; tomography, x-ray computed

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