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European Journal of Echocardiography 2006 7(3):253-256; doi:10.1016/j.euje.2005.04.008
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Copyright © 2005, The European Society of Cardiology

Incidental finding of a large pulmonary valve fibroelastoma: A case report

Marcos Daccaretta,*, Peter Burkeb and Souheil Sabaa

aDivision of Cardiology, Providence Hospital and Medical Center, 16001 W. 9 Mile Road, Southfield, MI 48075, USA souheil.saba{at}providence-stjohnhealth.org
bDepartment of Internal Medicine, Providence Hospital and Medical Center, 16001 W. 9 Mile Road, Southfield, MI 48075, USA peter.burke{at}stjohn.org

Received 10 March 2005; accepted after revision 27 April 2005.

* Corresponding author. Tel.: +1 248 544 0515. marcos.daccarett{at}stjohn.org


   Abstract

Papillary fibroelastoma (PFE) is an uncommon primary neoplasm of cardiac origin. They are solitary neoplasms that historically were an incidental finding at the time of autopsy. With the advent of two-dimensional echocardiography, symptomatic cases have been reported in current literature, thus causing a paradigm shift in the management of these tumors. Although the majority of PFE are benign, because of their potential risk for complication related to embolic and obstructive phenomena, they are now considered hazardous and require tumor excision even in asymptomatic patients. We report a case of an asymptomatic incidental large papillary fibroelastoma within the right ventricular outflow tract.

Keywords: Large fibroelastoma; Pulmonary valve; Transesophageal echocardiogram; TEE; Asymptomatic incidental


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S. Biocic, S. Puksic, J. Vincelj, Z. Durasevic, Z. Sutlic, and S. Manojlovic
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Eur J Echocardiogr, July 1, 2009; 10(5): 726 - 728.
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