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Papillary fibroelastoma of the mitral valve chordae with systemic embolization

Publication ,  Journal Article
Gomadam, PS; Stacey, RB; Johnsen, AE; Kitzman, DW; Kon, ND; Upadhya, B
Published in: Journal of Cardiology Cases
October 1, 2014

Papillary fibroelastoma (PFE) is a rare benign tumor that most commonly involves heart valves. Cardiac PFE involving the mitral chorda is rarer. Most papillary PFE are asymptomatic; rarely, they are diagnosed because of cardiac symptoms or after an embolic event. In this case, a 70-year-old woman presented with an acute cerebral ischemic infarct. Evaluation for potential embolic source revealed a mass on the mitral chordae. The findings of cardiac magnetic resonance (CMR) tissue characterization of the mass corroborated the diagnosis of mitral valve tumor. She underwent surgical resection of this mass and histology, which confirmed a PFE.<. Learning objective: PFE are easily detected on echocardiography but are difficult to visualize with CMR. Their small size and rapid, extensive movement render adequate CMR imaging extremely difficult. This case highlights the ability of CMR to characterize the tissue characteristics and enhancement pattern which enables non-invasive assessment for the etiology of intra-cardiac masses and usually distinguishes a tumor from thrombus.>.

Duke Scholars

Published In

Journal of Cardiology Cases

DOI

EISSN

1878-5409

ISSN

1878-5409

Publication Date

October 1, 2014

Volume

10

Issue

4

Start / End Page

125 / 128

Related Subject Headings

  • 3201 Cardiovascular medicine and haematology
 

Citation

APA
Chicago
ICMJE
MLA
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Gomadam, P. S., Stacey, R. B., Johnsen, A. E., Kitzman, D. W., Kon, N. D., & Upadhya, B. (2014). Papillary fibroelastoma of the mitral valve chordae with systemic embolization. Journal of Cardiology Cases, 10(4), 125–128. https://doi.org/10.1016/j.jccase.2014.06.004
Gomadam, P. S., R. B. Stacey, A. E. Johnsen, D. W. Kitzman, N. D. Kon, and B. Upadhya. “Papillary fibroelastoma of the mitral valve chordae with systemic embolization.” Journal of Cardiology Cases 10, no. 4 (October 1, 2014): 125–28. https://doi.org/10.1016/j.jccase.2014.06.004.
Gomadam PS, Stacey RB, Johnsen AE, Kitzman DW, Kon ND, Upadhya B. Papillary fibroelastoma of the mitral valve chordae with systemic embolization. Journal of Cardiology Cases. 2014 Oct 1;10(4):125–8.
Gomadam, P. S., et al. “Papillary fibroelastoma of the mitral valve chordae with systemic embolization.” Journal of Cardiology Cases, vol. 10, no. 4, Oct. 2014, pp. 125–28. Scopus, doi:10.1016/j.jccase.2014.06.004.
Gomadam PS, Stacey RB, Johnsen AE, Kitzman DW, Kon ND, Upadhya B. Papillary fibroelastoma of the mitral valve chordae with systemic embolization. Journal of Cardiology Cases. 2014 Oct 1;10(4):125–128.
Journal cover image

Published In

Journal of Cardiology Cases

DOI

EISSN

1878-5409

ISSN

1878-5409

Publication Date

October 1, 2014

Volume

10

Issue

4

Start / End Page

125 / 128

Related Subject Headings

  • 3201 Cardiovascular medicine and haematology