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Multiple papillary fibroelastomas and thrombus in the left heart.

Seo GW, Seol SH, Park BM, Kim TJ, Kim JK, Song PS, Kim DK, Kim KH, Kim YM, Kim DI - J Cardiovasc Ultrasound (2014)

Bottom Line: Cardiac papillary fibroelastomas (CPF) are benign cardiac tumors and usually discovered incidentally during echocardiography.The transthoracic echocardiography revealed multiple oscillating masses in the left ventricle and aortic valve, non-mobile mass in the left atrium with severe mitral stenosis and moderate aortic regurgitation.Histopathologic examination confirmed the diagnosis of CPF in the left ventricle and aortic valve, thrombus in the left atrium.

View Article: PubMed Central - PubMed

Affiliation: Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

ABSTRACT
Cardiac papillary fibroelastomas (CPF) are benign cardiac tumors and usually discovered incidentally during echocardiography. This report describes the case of a 68-year-old man, referred to cardiology for multiple masses of the left ventricle and left atrium. The transthoracic echocardiography revealed multiple oscillating masses in the left ventricle and aortic valve, non-mobile mass in the left atrium with severe mitral stenosis and moderate aortic regurgitation. The patient underwent surgical resection of the masses with valve replacements. Histopathologic examination confirmed the diagnosis of CPF in the left ventricle and aortic valve, thrombus in the left atrium.

No MeSH data available.


Related in: MedlinePlus

Gross specimen of 1:1 paraffin block (H&E stain, × 10) (A) reveals central stalk with papillary projection. Histological examination of the resected tumor showing papillary projection. The tumor surface is covered by a single layer of endocardial cells with an overlying thin layer of an underlying acellular stroma composed of elastic fibers and collagen (H&E stain, × 40) (B).
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Figure 3: Gross specimen of 1:1 paraffin block (H&E stain, × 10) (A) reveals central stalk with papillary projection. Histological examination of the resected tumor showing papillary projection. The tumor surface is covered by a single layer of endocardial cells with an overlying thin layer of an underlying acellular stroma composed of elastic fibers and collagen (H&E stain, × 40) (B).

Mentions: Histopathology examination of the resected masses in the left ventricle and aortic valve revealed a papillary proliferation, including an avascular connective tissue core lined by a single layer of the endothelial cells, which was sufficient for a diagnosis of CPF (Fig. 3). The left atrial mass was composed of fibrin and red cells with a variable platelet and leukocyte component, revealed to thrombus.


Multiple papillary fibroelastomas and thrombus in the left heart.

Seo GW, Seol SH, Park BM, Kim TJ, Kim JK, Song PS, Kim DK, Kim KH, Kim YM, Kim DI - J Cardiovasc Ultrasound (2014)

Gross specimen of 1:1 paraffin block (H&E stain, × 10) (A) reveals central stalk with papillary projection. Histological examination of the resected tumor showing papillary projection. The tumor surface is covered by a single layer of endocardial cells with an overlying thin layer of an underlying acellular stroma composed of elastic fibers and collagen (H&E stain, × 40) (B).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3992348&req=5

Figure 3: Gross specimen of 1:1 paraffin block (H&E stain, × 10) (A) reveals central stalk with papillary projection. Histological examination of the resected tumor showing papillary projection. The tumor surface is covered by a single layer of endocardial cells with an overlying thin layer of an underlying acellular stroma composed of elastic fibers and collagen (H&E stain, × 40) (B).
Mentions: Histopathology examination of the resected masses in the left ventricle and aortic valve revealed a papillary proliferation, including an avascular connective tissue core lined by a single layer of the endothelial cells, which was sufficient for a diagnosis of CPF (Fig. 3). The left atrial mass was composed of fibrin and red cells with a variable platelet and leukocyte component, revealed to thrombus.

Bottom Line: Cardiac papillary fibroelastomas (CPF) are benign cardiac tumors and usually discovered incidentally during echocardiography.The transthoracic echocardiography revealed multiple oscillating masses in the left ventricle and aortic valve, non-mobile mass in the left atrium with severe mitral stenosis and moderate aortic regurgitation.Histopathologic examination confirmed the diagnosis of CPF in the left ventricle and aortic valve, thrombus in the left atrium.

View Article: PubMed Central - PubMed

Affiliation: Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

ABSTRACT
Cardiac papillary fibroelastomas (CPF) are benign cardiac tumors and usually discovered incidentally during echocardiography. This report describes the case of a 68-year-old man, referred to cardiology for multiple masses of the left ventricle and left atrium. The transthoracic echocardiography revealed multiple oscillating masses in the left ventricle and aortic valve, non-mobile mass in the left atrium with severe mitral stenosis and moderate aortic regurgitation. The patient underwent surgical resection of the masses with valve replacements. Histopathologic examination confirmed the diagnosis of CPF in the left ventricle and aortic valve, thrombus in the left atrium.

No MeSH data available.


Related in: MedlinePlus