Multimodality cardiac imaging of a left ventricular papillary fibroelastoma: a case report.

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  • Additional Information
    • Source:
      Publisher: Biomed Central Country of Publication: England NLM ID: 101462768 Publication Model: Electronic Cited Medium: Internet ISSN: 1756-0500 (Electronic) Linking ISSN: 17560500 NLM ISO Abbreviation: BMC Res Notes Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : Biomed Central, 2008.
    • Subject Terms:
      Heart Neoplasms/*pathology ; Heart Ventricles/*diagnostic imaging ; Heart Ventricles/*pathology ; Myocardial Infarction/*diagnostic imaging ; Myocardial Infarction/*pathology; Adult ; Cardiovascular System ; Coronary Artery Bypass ; Coronary Vessels/pathology ; Diabetes Mellitus, Type 2/complications ; Diagnosis, Differential ; Dyslipidemias/complications ; Echocardiography ; Female ; Heart Neoplasms/complications ; Humans ; Hypertension/complications ; Magnetic Resonance Imaging ; Myocardial Infarction/complications ; Myocardial Ischemia/complications ; Thrombosis/physiopathology
    • Abstract:
      Background: In the setting of an acute myocardial infarction (AMI), although the most common etiology of a left ventricular (LV) mass identified on multimodality cardiovascular imaging is a thrombus, other possibilities including a vegetation or tumor should be entertained within the differential diagnosis.
      Case Presentation: We describe a case of a 43-year-old Caucasian female post AMI diagnosed with a mid-cavitary mass within the LV. Although echocardiography and cardiovascular MRI (CMR) suggested that the mass was a thrombus, given the context of the recent AMI, exploration and surgical excision was completed by the surgeon due to the potential for the mass to embolize.
      Conclusion: The final diagnosis of a papillary fibroelastoma was unique due to its unusual location and large size within the LV cavity. This unique case demonstrates shortcomings of multimodality cardiac imaging in the diagnosis of an atypical mass and the importance of obtaining tissue when clinically safe and feasible.
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    • Contributed Indexing:
      Keywords: Cardiac MRI; Echocardiography; Papillary fibroelastoma
    • Publication Date:
      Date Created: 20170108 Date Completed: 20170206 Latest Revision: 20181113
    • Publication Date:
      20221213
    • Accession Number:
      PMC5219654
    • Accession Number:
      10.1186/s13104-016-2323-9
    • Accession Number:
      28061883