Aortic valve replacement for papillary fibroelastoma

Abstract

Surgery is indicated for symptomatic patients with papillary fibroelastomas (PFE) on the aortic valve. The valve is commonly spared during tumor excision. Rarely, aortic valve replacement (AVR) is needed. We present a case requiring AVR for an aortic valve PFE and review the literature to determine the risk factors for failure of aortic valve-sparing techniques in patients with PFE.

Papillary fibroelastoma of the left ventricular apex excised using a videoscopic technique

“…[1][2][3][4] They may also be found in the left ventricular (LV) outflow tract and result in systolic anterior motion. [1][2][3][4] They may also be found in the left ventricular (LV) outflow tract and result in systolic anterior motion.…”

“…Cardiac papillary fibroelastomas are benign tumors which may arise from the aortic, mitral, and tricuspid valves. [1][2][3][4] They may also be found in the left ventricular (LV) outflow tract and result in systolic anterior motion. 5 Recently, benign cardiac tumors have been removed using robotic and video-assisted techniques.…”

Cardiac papillary fibroelastoma originating from the left ventricular septum

“…Cardiac fibroelastomas can be found on the aortic, mitral, and tricuspid valves; may be single or multiple; and have been associated with mitral stenosis and left ventricular outflow tract obstruction and systolic anterior motion . We present images of a fibroelastoma arising from the apical portion of the left ventricular (LV) septum.…”

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Cardiac fibroelastomas can be found on the aortic, mitral, and tricuspid valves; may be single or multiple; and have been associated with mitral stenosis and left ventricular outflow tract obstruction and systolic anterior motion. [1][2][3][4][5] We present images of a fibroelastoma arising from the apical portion of the left ventricular (LV) septum. A 72-year-old male was found to have a 1.3 × 1.3-cm mobile mass in the apical portion of the LV septum on a transthoracic echocardiogram (TTE) obtained as part of a work-up for resistant hypertension (Figure 1).

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Fibroelastoma of the mitral valve apparatus

“…Papillary fibroelastomas are the most common benign tumors of the aortic valve. 1,2 They may also involve the tricuspid valve, 3 the left ventricular (LV) septum, 4 and the LV apex, 5 and have been associated with mitral stenosis. 6 We present images from a patient with a fibroelastoma of the mital valve apparatus resulting in mitral regurgitation (MR).…”