https://doi.org/10.4081/monaldi.2023.2615
Finger ischemia in a young lady: an unusual presentation of papillary fibroelastoma with intraventricular location
Submitted: April 24, 2023
Accepted: May 18, 2023
Published: May 24, 2023
Accepted: May 18, 2023
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
An otherwise healthy 32-year-old woman suffered from finger ischemia. An echocardiogram and computed tomography scan revealed a mobile mass in the left ventricle that was attached to the anterior papillary muscle and did not involve the valve leaflets. The tumor was resected, and histopathology confirmed it to be a papillary fibroelastoma. Our case emphasizes the significance of a comprehensive diagnostic work-up for a peripheral ischemic lesion. This resulted in the discovery of an unusual intra-ventricular origin for a commonly benign tumor.
Tyebally S, Chen D, Bhattacharyya S, et al. Cardiac tumors: JACC CardioOncology state‐of‐the‐art review. JACC CardioOncol 2020;2:293‐311.
Gowda RM, Khan IA, Nair CK, et al. Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases. Am Heart J 2003;146:404-10.
Sun JP, Asher CR, Yang X, et al. Clinical and echocardiographic characteristics of papillary fibroelastomas: a retrospective and prospective study in 162 patients. Circulation 2001;103:2687-93.
Meng F, Sun JP, Chen M, et al. An unusual cardiac fibroelastoma case. Circulation 2014;30:520-2.
Barbarossa A, Coraducci F, Cipolletta L, et al. Very mobile left ventricular outflow tract papillary fibroelastoma presenting with multiple ischemic strokes: a case report and brief review of the literature. J Cardiovasc Echogr 2022;32:222-4.
Kurian KC, Edwards FH, Jacob B, et al. Papillary fibroelastoma presenting as left ventricular mass. Current update and literature review. Tex Heart Inst J 2006;33:63-5.
Zhang M, Liu X, Song Z, et al Cardiac papillary fibroelastoma: a retrospect of four cases. J Cardiothorac Surg 2013;8:65.
Klarich KW, Enriquez-Sarano M, Gura GM, et al. Papillary fibroelastoma: echocardio-graphic characteristics for diagnosis and pathologic correlation. J Am Coll Cardiol 1997;30:784-90.
Hoey ETD, Shahid M, Ganeshan A, et al. MRI assessment of cardiac tumours: part 1, multiparametric imaging protocols and spectrum of appearances of histologically benign lesions. Quant Imaging Med Surg 2014;4:478-88.
Yopp AC, Vaynblat M, Cunningham JN Jr, Lazzaro RS. Cardiac valve papillary fibroelastoma: surgical excision for revealed or potential embolization. J Card Surg 2007;22:72-3.
How to Cite
Pernigo, Matteo, Elisabetta Dinatolo, Marco Cirillo, Zean Mhagna, Alida Filippini, Fabiana Cozza, Marco Berti, et al. 2023. “Finger Ischemia in a Young Lady: An Unusual Presentation of Papillary Fibroelastoma With Intraventricular Location”. Monaldi Archives for Chest Disease 94 (1). https://doi.org/10.4081/monaldi.2023.2615.
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