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Multimodality cardiac imaging of a left ventricular papillary fibroelastoma: a case report.
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- Author(s): Sharma R;Sharma R; Golian M; Golian M; Shah P; Shah P; Jassal DS; Jassal DS; Jassal DS; Jassal DS; Shaikh N; Shaikh N
- Source:
BMC research notes [BMC Res Notes] 2017 Jan 07; Vol. 10 (1), pp. 25. Date of Electronic Publication: 2017 Jan 07.- Publication Type:
Case Reports; Journal Article- Language:
English - Source:
- 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. - References: J Cardiothorac Surg. 2012 Sep 03;7:80. (PMID: 22943845)
Am Heart J. 2003 Sep;146(3):404-10. (PMID: 12947356)
J Cardiothorac Surg. 2009 Jul 01;4:28. (PMID: 19570232)
Clin Cardiol. 1997 Feb;20(2):175-7. (PMID: 9034648)
Ann Thorac Surg. 1999 Nov;68(5):1881-5. (PMID: 10585089)
Am J Cardiol. 2010 Nov 1;106(9):1197-200. (PMID: 21029812)
Circulation. 2002 Jan 15;105(2):224-9. (PMID: 11790705)
Circulation. 2002 Dec 3;106(23 ):2873-6. (PMID: 12460863)
Semin Cardiothorac Vasc Anesth. 2010 Mar;14(1):6-20. (PMID: 20472615)
Hum Pathol. 2002 Dec;33(12):1165-9. (PMID: 12514783) - 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
- Source:
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