cardiac papillary fibroelastoma
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Pathology
- fibroelastoma attached to the endocardium of a cardiac valve generally left-sided (case presentation[1] attachment to mitral valve)
- embolization may occur
- most are small (1.2 cm x 0.9 cm average)
Diagnostic procedures
- echocardiogram (may be incidental finding)
Differential diagnosis
- atrial myxoma
- larger than papillary fibroelastoma
- generally associated with obstructive features
- 75% arise from fossa ovalis of left atrium, not a cardiac valve
- fever, weight loss may be noted[1]
- a tumor 'plop' may be heard on auscultation
More general terms
References
- ↑ Jump up to: 1.0 1.1 1.2 Medical Knowledge Self Assessment Program (MKSAP) 18, American College of Physicians, Philadelphia 2018
- ↑ Val-Bernal JF, Mayorga M, Garijo MF, Val D, Nistal JF. Cardiac papillary fibroelastoma: retrospective clinicopathologic study of 17 tumors with resection at a single institution and literature review. Pathol Res Pract. 2013 Apr;209(4):208-14. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/23455367