Case Report: A Tale of a Cardiac Mass: Looks Like a Papillary Fibroelastoma, Acts Like a Non-bacterial Thromboendocarditis
Introduction: Benign cardiac tumors and tumor like conditions are a heterogeneous collection of mass lesions that vary widely in their characteristics, such as presentation, size, and location. In some instances, these tumors are found incidentally, and therefore a broad differential diagnosis shoul...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-11-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2021.782926/full |
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| author | Ali Ahmad Ali Ahmad Arman Arghami Edward A. El-Am Edward A. El-Am Thomas A. Foley Thomas A. Foley Reto D. Kurmann Reto D. Kurmann Kyle W. Klarich |
| author_facet | Ali Ahmad Ali Ahmad Arman Arghami Edward A. El-Am Edward A. El-Am Thomas A. Foley Thomas A. Foley Reto D. Kurmann Reto D. Kurmann Kyle W. Klarich |
| author_sort | Ali Ahmad |
| collection | DOAJ |
| description | Introduction: Benign cardiac tumors and tumor like conditions are a heterogeneous collection of mass lesions that vary widely in their characteristics, such as presentation, size, and location. In some instances, these tumors are found incidentally, and therefore a broad differential diagnosis should be considered.Case: An elderly male with significant unintentional weight loss and a high risk for cancer presented with an incidental valvular cardiac mass. The mass was thought to be a non-bacterial thromboendocarditis on initial clinical evaluation. After multiple imaging modalities, the mass was suspected to be a papillary fibroelastoma (PFE), which was resected due to high stroke risk and multiple previous chronic infarcts on brain MRI.Conclusion: This case highlights the need for a comprehensive cardiac evaluation of a valvular tumor to discern the etiology and rule out other underlying pathophysiological processes that may require alternative interventions to cardiac surgery. |
| first_indexed | 2024-12-20T05:19:27Z |
| format | Article |
| id | doaj.art-e9a4916ef3c84b5f804e55ad837f7140 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-12-20T05:19:27Z |
| publishDate | 2021-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-e9a4916ef3c84b5f804e55ad837f71402022-12-21T19:52:03ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2021-11-01810.3389/fcvm.2021.782926782926Case Report: A Tale of a Cardiac Mass: Looks Like a Papillary Fibroelastoma, Acts Like a Non-bacterial ThromboendocarditisAli Ahmad0Ali Ahmad1Arman Arghami2Edward A. El-Am3Edward A. El-Am4Thomas A. Foley5Thomas A. Foley6Reto D. Kurmann7Reto D. Kurmann8Kyle W. Klarich9Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United StatesDepartment of Internal Medicine, Saint Louis University School of Medicine, Saint Louis, MO, United StatesDepartment of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, United StatesDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United StatesDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN, United StatesDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United StatesDivision of Cardiovascular Radiology, Department of Radiology, Mayo Clinic, Rochester, MN, United StatesDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United StatesHeart Center, Kantonsspital Luzern, Lucerne, SwitzerlandDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, United StatesIntroduction: Benign cardiac tumors and tumor like conditions are a heterogeneous collection of mass lesions that vary widely in their characteristics, such as presentation, size, and location. In some instances, these tumors are found incidentally, and therefore a broad differential diagnosis should be considered.Case: An elderly male with significant unintentional weight loss and a high risk for cancer presented with an incidental valvular cardiac mass. The mass was thought to be a non-bacterial thromboendocarditis on initial clinical evaluation. After multiple imaging modalities, the mass was suspected to be a papillary fibroelastoma (PFE), which was resected due to high stroke risk and multiple previous chronic infarcts on brain MRI.Conclusion: This case highlights the need for a comprehensive cardiac evaluation of a valvular tumor to discern the etiology and rule out other underlying pathophysiological processes that may require alternative interventions to cardiac surgery.https://www.frontiersin.org/articles/10.3389/fcvm.2021.782926/fullpapillary fibroelastomanon-bacterial thromboendocarditiscardiac massmarantic endocarditiscase report |
| spellingShingle | Ali Ahmad Ali Ahmad Arman Arghami Edward A. El-Am Edward A. El-Am Thomas A. Foley Thomas A. Foley Reto D. Kurmann Reto D. Kurmann Kyle W. Klarich Case Report: A Tale of a Cardiac Mass: Looks Like a Papillary Fibroelastoma, Acts Like a Non-bacterial Thromboendocarditis Frontiers in Cardiovascular Medicine papillary fibroelastoma non-bacterial thromboendocarditis cardiac mass marantic endocarditis case report |
| title | Case Report: A Tale of a Cardiac Mass: Looks Like a Papillary Fibroelastoma, Acts Like a Non-bacterial Thromboendocarditis |
| title_full | Case Report: A Tale of a Cardiac Mass: Looks Like a Papillary Fibroelastoma, Acts Like a Non-bacterial Thromboendocarditis |
| title_fullStr | Case Report: A Tale of a Cardiac Mass: Looks Like a Papillary Fibroelastoma, Acts Like a Non-bacterial Thromboendocarditis |
| title_full_unstemmed | Case Report: A Tale of a Cardiac Mass: Looks Like a Papillary Fibroelastoma, Acts Like a Non-bacterial Thromboendocarditis |
| title_short | Case Report: A Tale of a Cardiac Mass: Looks Like a Papillary Fibroelastoma, Acts Like a Non-bacterial Thromboendocarditis |
| title_sort | case report a tale of a cardiac mass looks like a papillary fibroelastoma acts like a non bacterial thromboendocarditis |
| topic | papillary fibroelastoma non-bacterial thromboendocarditis cardiac mass marantic endocarditis case report |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2021.782926/full |
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