Simultaneous papillary fibroelastomas of the pulmonary and aortic valves

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• 作者：J. Fernando Val-Bernal^a ; ^{apavbj@humv.es} ; Carlos Neira^a ; J. Francisco Nistal^b ; Francisco J. Gonz&aacute ; lez-Vilchez^c ; José ; M. Gonz&aacute ; lez-Gay^d ; Daniel Val^a
• 关键词：Heart ; Papillary fibroelastoma ; Pulmonary valve ; Aortic valve ; Cardiac neoplasm
• 刊名：Pathology - Research and Practice
• 出版年：2012
• 期刊代码：28_03440338
• 类别：bio
• 出版时间：15 May, 2012
• 卷：208
• 期：5
• 页码：315-317
• 文件大小：515 K

摘要

Cardiac papillary fibroelastomas (PFEs) are uncommon valve tumors. Multiple PFEs at the same or different locations in the heart account for less than 10%of patients with PFE. We herein describe a case of an asymptomatic PFE of both pulmonary and aortic valves which was incidentally diagnosed by echocardiography in a 60-year-old woman. Both PFEs were removed surgically without valve replacement. To our knowledge, this combination of lesions has not been previously reported. Even though PFEs are classified as benign cardiac tumors, they can present serious complications, such as embolic episodes, mechanical obstruction or valvular dysfunction. Valve-sparing shave excision of the lesions can be readily accomplished in most instances with good long-term results. All surgically removed valvular lesions should be histopathologically examined to confirm the echocardiographic diagnosis.