Papillary fibroelastoma of the aortic valve’s left coronary leaflet: case reports and review
https://doi.org/10.24835/1607-0763-2018-3-60-69
Abstract
Papillary fibroelastoma is a relatively rare cardiac tumor, which etiology is undisclosed and not entirely clear. A relatively small number of case descriptions and investigations makes it difficult to accumulate the material, which is absolutely necessary in view of the diversity and ambivalence of the tactics of the management of the different groups of patients. The article represents the case reports of the papillary fibroelastoma of the left coronary leaflet of the aortic valve in a 79 y.o. man and 15 y.o. woman. In both cases patients hadn't any complains; both fibroelastomas were accidentally detected. Due to echocardiography and CMR, it was succeed to obtain data on the hemodynamic significance of these tumors, to reveal their precize localization and to assess their mobility, also to differentiate them with other masses.
About the Authors
A. A. Staroseltsev
Moscow Research and Practical Centre for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Health Department
Russian Federation
Russian Federation
Aleksandr A. Staroseltsev – cand. of med. sci., radiologist
105120 Moscow, Zemlyanoy val str., 53
A. S. Sharykin
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Aleksandr S. Sharykin – doct. of med. sci., Cardiologist, Professor of the Academician V.A. Tabolin Department of Hospital Pediatrics
Moscow
V. А. Badtieva
Moscow Research and Practical Centre for Medical Rehabilitation, Restorative and Sports Medicine, Moscow Health Department
Russian Federation
Russian Federation
Victoria A. Badtieva – corresponding member of RAS, Professor, doct. of med. sci., Chief
Moscow
Е. V. Karelina
State budgetary healthcare institution “Z.A. Bashlyayeva Children's clinical city hospital”
Russian Federation
Russian Federation
Ekaterina V. Karelina – doctor of the ultrasound department
Moscow
V. E. Sinitsyn
University Hospital of Moscow State University by M.V.Lomonosov
Russian Federation
Russian Federation
Valentin E. Sinitsyn – doct. of med. sci., Professor, Head of the radiodiagnosis and radiotherapy Division at the Faculty of Fundamental Medicine of M.V. Lomonosov Moscow State University of the Ministry of Healthcare of the Russian Federation; Professor of the Radiodiagnosis, Radiotherapy and Medical physics Department of the Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation
Moscow
E. A. Mershina
University Hospital of Moscow State University by M.V.Lomonosov
Russian Federation
Russian Federation
Elena A. Mershina – cand. of med. sci., Clinical Chief of the Radiology Department
Moscow
M. M. Alimov
CDC “MEDSI”
Russian Federation
Russian Federation
Mikhail M. Alimov – radiologist
Moscow
Yu. Yu. Gepalova
IPE Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Yuliana Yu. Gepalova – postgraduate student of radiology department
Moscow
References
1. Mann D.L., Zipes D.P., Libby P., Bonow R.O. Echocardiography. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 2014, 174–251.
2. Rahsepar A.A., Ghasemiesfe A., Sawlani R.N., Ferreira Botelho M.P., Paintal A.S., Tumer Y., Malaisrie S.C., Freed B.H., Collins J.D., Carr J.C. A Papillary Fibroelastoma Involving Aortic and Pulmonary Valves Findings on Multimodality Imaging. Ann. Thorac. Surg. 2017; 103: e73–75. DOI: 10.1016/j.athoracsur.2016.05.106.
3. Bokeria L.A., Serov L.A., Kavsadze V.E. The case of the stage treatment of the floating fibroelastoma of the aortic valve and IHD in the 63 y.o. patient. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2017; 18 (S3): 19. (In Russian)
4. McManus B. Primary Tumors of the Heart. In: Bonow R.O., Mann D., Zipes D., Libby P. (eds): Braunwald's Heart Disease. 9th ed. St. Louis: Elsevier Saunders, 2011: 1638–1650.
5. Palaskas N., Thompson K., Gladish G. Ali M. Agha, Hassan S., Iliescu C., Kim P., Durand J.B., Lopez-Mattei J.C. Evaluation and Management of Cardiac Tumors. Curr. Treat. Options Cardio Med. 2018: 20: 29. DOI:10.1007/s11936-018-0625-z.
6. Radiological methods in cardiac diagnostics / Manfred Thelen, Raimund Erbel, Karl-Friedrich Kreitner, Jцrg Barkhausen ; trans. from German; under the Society. Ed. prof. V.E. Sinitsyn M.: MEDpress-inform. 2011. 408 p. (In Russian)
7. Erdmenger O.J., Vбzquez C., Ortega M.J. Echocardiography in diagnosis of primary cardiac tumors in pediatrics. Arch. Cardiol. Mex. 2005; 75 (2): 154–158.
8. Grolla E., Vestra M.D., Zoffoli G., D'Ascoli R., Critelli A., Quatrale R., Mangino D., Rigo F. Papillary fibroelastoma, unusual cause of stroke in a young man: a case report. J. Cardiothorac. Surg. 2017; 12 (1): 33. DOI:10.1186/s13019-017-0592-6.
9. Raspopovic S., Natalic D., Miketic V. Pericardial tumor and pregnancy – a case report study. Clin. Exp. Obstet. Gynecol. 2017; 44 (3): 480–482. PMID: 29949301.
10. Raju V., Srinivasan M., Padmanaban C., Soundararajan S., Kuppanna P. J. Left main coronary artery embolus: Unusual presentation of papillary fibroelastoma of the aortic valve. Texas Heart Institute J. 2010; 37 (3): 365–367.
11. Choi K.B., Kim H.W., Kim D.Y., Jo K.H., Choi H.J., Hong S.B. Tricuspid Papillary Fibroelastoma Mimicking Tricuspid Vegetation in a Patient with Severe Neutropenia. Korean J. Thorac. Cardiovasc. Surg. 2016; 49 (3): 195–198. DOI:10.5090/kjtcs.2016.49.3.195.
12. Bokeria L.A., Bokeria O.L., Serov R.A. Surgical treatment of multiple fibroelastoma of the heart. Annals of surgery. 2014; 6: 49–52. (In Russian)
13. Mkalaluh S., Szczechowicz M., Torabi S., Dib B., Sabashnikov A., Mashhour A. Karck M., Weymann A. (2017). Surgery for Cardiac Papillary Fibroelastoma: A 12-Year Single Institution Experience. Med. Sci. Monitor Basic Res. 2017; 23: 258–263. DOI:10.12659/ MSMBR.904881.
14. Bobadilla P., Vigliano C., Casabй J.H., Guevara E., Salmo F., Abud J., Dulbecco E., Favaloro R. Papillary fibroelastoma: retrospective analysis. Clinical presentation and surgical results. Medicina (B. Aires). 2017; 77 (6): 481–485. Spanish. PMID: 29223939.
15. Pinheiro Santos J., Banazol N., Cruz Tomбs A., VarelaAfonso D., Fragata J. Cardiac Fibroelastoma: 10-Year Experience. Rev. Port. Cir. Cardiotorac. Vasc. 2017; 24 (3–4): 161. PMID: 29701392.
16. Catez E., Tatnga N.V., Catez S. An unusual right atrial mass: case report and review of the literature. Acta Cardiol. 2010; 65 (4): 477–480. Review. PMID: 20821944.
17. Fumero A., Villalba L., Kemeny J.L., Camilleri L. Coexisting chordal papillary fibroelastoma and leaflet Lambl's tumour of the mitral valve. Interact. Cardiovasc. Thorac. Surg. 2003; 2 (3): 382–384. PMID: 17670077. DOI:10.1016/S1569-9293(03)00081-1.
18. Gabbieri D., Rossi G., Bavutti L., Corghi F., Zacа F., Sarandria D., Pierangeli A., Ghidoni I. Papillary fibroelastoma of the right atrium as an unusual source of recurrent pulmonary embolism. J. Cardiovasc. Med. (Hagerstown). 2006; 7 (5): 373–378. PMID: 16645419. DOI10.2459/01.JCM.0000223263.77674.db.
19. Wolfe J.T. 3rd, Finck S.J., Safford R.E., Persellin S.T. Tricuspid valve papillary fibroelastoma: echocardiographic characterization. Ann. Thorac. Surg. 1991; 51 (1): 116– 118. PMID: 1985549.
20. Bazylev V.V., Karpukhin V. G., Palkova V. A., Evtushkin I.A., Simonova O.I. Clinical Two Cases of Papillary Fibroelastomy Heart: Aortic Valve and the Pulmonary Artery Medical Visualization. 2016; 6: 118–124. (In Russian)
21. Teis A., Saenz-Sarda X., Ruyrac X. Multimodality Imaging for Pulmonary Valve Papillary Fibroelastoma. Revista Espaсola de Cardiologнa (English Edition). 2018; 71 (2): 112. DOI: 10.1016/j.rec.2017.05.016.
22. Agaimy A., Strecker T. Case Report Left atrial myxoma with papillary fibroelastoma-like Features. Int. J. Clin. Exp. Pathol. 2011; 4 (3): 307–311.
23. Aithoussa M., Atmani N., Mounir R., Moutakiallah Y., Bamous M., Abdou A., Nya F., Seghrouchni A., Bellouize S., Drissi M., Elouennass M., Elbekkali Y., Boulahya A. Early results for active infective endocarditis. Panafr. Med. J. 2017; 28: 245. DOI: 10.11604/pamj.2017.28.245.13518.
24. Yong M.S., Smail H., Saxena P. Management of incidental papillary fibroelastoma: An update. Int. J. Cardiol. 2016; 215: 338–339. DOI: 10.1016/j.ijcard.2016.04.113.
25. Bokeria LA, Skopin II, Serov RA, Mironenko VA, Spirin LV. Papillary fibroelastoma in the pathology of the cardiac valves. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2015; 16 (S3): 21. (In Russian)
26. Муратов Р.М., Бабенко С.И., Титов Д.А., Соболева Н.Н., Басараб Ю.С Muratov R.M., Babenko S.I., Titov D.A., Soboleva N.N., Basarab Y.uS. Removal of aortic valve’s fibroelastoma with plasty with the RCA’s valve by a patch from the autopericardium. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2013; 14 (1): 69–71. (In Russian)
Review
For citations:
Staroseltsev A.A., Sharykin A.S., Badtieva V.А., Karelina Е.V., Sinitsyn V.E., Mershina E.A., Alimov M.M., Gepalova Yu.Yu. Papillary fibroelastoma of the aortic valve’s left coronary leaflet: case reports and review. Medical Visualization. 2018;(3):60-69. (In Russ.) https://doi.org/10.24835/1607-0763-2018-3-60-69
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