Papillary fibroelastoma on the aortic valve presenting as multiple cardiac arrests from electrical storm due to ischemia in patient without previous cardiac history

Maludum, Obiora; Ugoeke, Nene; Mahida, Hetavi; Ajam, Firas; Alrefaee, Anas; Calderon, Dawn; Stone, Jay; Neibart, Richard M.

doi:10.1016/j.hrcr.2018.11.013

Cited by 2 publications

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References 15 publications

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“…Generally, the decision for surgical resection of a PFE is recommended after considering the tumor size, tumor mobility, embolization, symptoms, and localization. [ 1 2 3 4 5 ] The tumor size seems to be the leading benchmark for deciding in favor of surgical treatment of PFEs. While the PFE size varies from 2 mm to 70 mm,[ 1 ] many studies predetermined a cutoff value of 10 mm in consideration of surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

Surgical resection of very small multiple papillary fibroelastomas of the aortic valve

et al. 2021

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Papillary fibroelastomas (PFEs) in multiple presentations on the aortic valve surface are extremely rare tumors that can cause sudden major cardio-cerebral adverse events. The treatment of these tumors varies from conservative care strategy to curative surgical resection. The bigger the tumor size, the bigger seems the tendency toward surgical treatment concepts. Here, we present the case of a completely healthy young woman who suffered sudden myocardial infarction and occlusion of the circumflex artery caused by very small multiple PFEs of the aortic valve. The patient underwent cardiac surgery for resection at our institution. The surgical approach appears to be recommended as a solitary reasonable treatment option once multiple PFEs have been detected.

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