Uncommon Location of a Papillary Fbroelastoma: Case Report

Abstract

An elderly man, with a history of diabetes and hypertension presented to our hospital complaining of attack of syncope and palpitations. Echocardiogram revealed the presence of a pedunculated mass attached to the interventricular septum. Sternotomy was performed and ascending aorta was opened transversely, aortic valve leafets were retracted, and a tumour was resected. The postoperative course was uneventful; the patient was discharged after 1 week from the operation. This case demonstrates atypical location for fibroelastoma on the interventricular septum, thus underpinning the need for proper assessment of all patients with a history of systemic embolization to rule out any unusual intracardiac causes. DiscussionPFE is the third most common primary cardiac tumour, after myxoma and fbroma. It is histologically benign and avascular, and almost 90% of the previously reported PFEs CJC Open 3 (2021) 121e123