Aortic valve Libman-Sacks endocarditis mimicking papillary fibroelastoma: therapeutic possibilities

Czub, Paweł; Żbikowska, Karolina; Arendarczyk, Adam; Budnik, Monika

doi:10.20452/pamw.16276

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In most tumoral cases, tumorectomy without valve repair or replacement is performed. However, if there is a risk of valve malfunction and high embolism, extensive tumorectomies may require additional interventions, such as valve repair or replacement, to prevent further complications 24 . According to studies, complete excision of PFE has significantly improved long‐term prognosis while reducing stroke risks.…”

Section: Discussionmentioning

confidence: 99%

“…However, if there is a risk of valve malfunction and high embolism, extensive tumorectomies may require additional interventions, such as valve repair or replacement, to prevent further complications. 24 According to studies, complete excision of PFE has significantly improved long‐term prognosis while reducing stroke risks. Patients without surgery have a higher risk of cerebrovascular events and mortality than those who undergo surgery.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Rheumatic heart disease of the mitral valve alongside the papillary fibroelastoma of the aortic valve: A case report

Khezerlouy Aghdam,

Delkhah,

Danayi

et al. 2024

Clinical Case Reports

View full text Add to dashboard Cite

Key Clinical MessageBesides thromboses, it's crucial to also consider the rare possibility of tumors like papillary fibroelastomas when evaluating worsening cardiopulmonary symptoms in patients with severe rheumatic mitral stenosis and atrial fibrillation.AbstractCardiac papillary fibroelastoma is a rare and benign endocardial tumor typically found on the aortic valve. The simultaneous occurrence of rheumatic heart disease affecting the mitral valve and papillary fibroelastoma on the aortic valve is infrequent, with limited documented instances. This unique case can enhance our understanding of the clinical presentation, diagnostic approaches, management options, and implications for patient outcomes in these two conditions. We present the case of a 47‐year‐old woman who was admitted to the hospital due to worsening dyspnea and fatigue, during which time she discovered an aortic valve papillary fibroelastoma. Further investigations revealed two thrombi in her left atrium and left atrial appendage, along with significant rheumatic mitral valve stenosis. The patient underwent thrombectomy, mitral valve replacement, and valve‐sparing aortic valve tumor resection. Following surgery, the patient's recovery was unremarkable. This case report emphasizes the need for a comprehensive evaluation in patients with rheumatic mitral stenosis, considering all possible etiologies. While thrombi are typical in mitral stenosis and atrial fibrillation, the rare presence of tumors like papillary fibroelastomas should be recognized, underscoring the importance of further assessment when suspicion arises. Importantly, individuals with asymptomatic cardiac papillary fibroelastomas should undergo surgical treatment to minimize the potential risk of tumoral embolization.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%