Cardiac papillary fibroelastoma of a bicuspid aortic valve in an adolescent: A case report

Cardiac papillary fibroelastomas (CPFE) are exceptional primary benign cardiac tumours, affecting the heart valves. We report here the case of a 15-year-old boy in whom echocardiography performed for non-specific chest pain during follow-up for bicuspid aortic valve showed as accidental finding the...

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Main Authors: Sarah Dénes, Benoît Daron, Marie Behaeghe, Marie-Christine Seghaye
Format: Article
Language:English
Published: MDPI AG 2019-08-01
Series:Clinics and Practice
Subjects:
Online Access:https://www.clinicsandpractice.org/index.php/cp/article/view/1135
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author Sarah Dénes
Benoît Daron
Marie Behaeghe
Marie-Christine Seghaye
author_facet Sarah Dénes
Benoît Daron
Marie Behaeghe
Marie-Christine Seghaye
author_sort Sarah Dénes
collection DOAJ
description Cardiac papillary fibroelastomas (CPFE) are exceptional primary benign cardiac tumours, affecting the heart valves. We report here the case of a 15-year-old boy in whom echocardiography performed for non-specific chest pain during follow-up for bicuspid aortic valve showed as accidental finding the presence of a round mobile mass without stalk attached on the inferior side of the aortic valve. The mass did not cause any outflow tract obstruction or aortic insufficiency. ECG-gated cardiac computed tomography and magnetic resonance imaging allowed to suspect CPFE. Although the patient was asymptomatic, open cardiac surgery with elective surgical resection of the tumour were performed to avoid systematic emboli. Histology confirmed the diagnosis of CPFE. This is an exceptional case of acquired CPFE in a young patient with bicuspid aortic valve. Due the risk of systemic embolization, aortic- or coronary ostium obstruction, elective excision of such lesions is recommended.
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spelling doaj.art-fbbab5c575dd4a97ba5cf613bc33804e2022-12-22T02:52:40ZengMDPI AGClinics and Practice2039-72752039-72832019-08-019310.4081/cp.2019.1135Cardiac papillary fibroelastoma of a bicuspid aortic valve in an adolescent: A case reportSarah Dénes0Benoît Daron1Marie Behaeghe2Marie-Christine Seghaye3Pediatric Cardiology, Department of Pediatrics, University Hospital of LiègeDepartment of Pediatrics, Regional Hospital VerviersDepartment of Anatomo-Pathology, University Hospital of LeuvenPediatric Cardiology, Department of Pediatrics, University Hospital of LiègeCardiac papillary fibroelastomas (CPFE) are exceptional primary benign cardiac tumours, affecting the heart valves. We report here the case of a 15-year-old boy in whom echocardiography performed for non-specific chest pain during follow-up for bicuspid aortic valve showed as accidental finding the presence of a round mobile mass without stalk attached on the inferior side of the aortic valve. The mass did not cause any outflow tract obstruction or aortic insufficiency. ECG-gated cardiac computed tomography and magnetic resonance imaging allowed to suspect CPFE. Although the patient was asymptomatic, open cardiac surgery with elective surgical resection of the tumour were performed to avoid systematic emboli. Histology confirmed the diagnosis of CPFE. This is an exceptional case of acquired CPFE in a young patient with bicuspid aortic valve. Due the risk of systemic embolization, aortic- or coronary ostium obstruction, elective excision of such lesions is recommended.https://www.clinicsandpractice.org/index.php/cp/article/view/1135Cardiac papillary fibroelastomaBicuspid aortic valveChildren
spellingShingle Sarah Dénes
Benoît Daron
Marie Behaeghe
Marie-Christine Seghaye
Cardiac papillary fibroelastoma of a bicuspid aortic valve in an adolescent: A case report
Clinics and Practice
Cardiac papillary fibroelastoma
Bicuspid aortic valve
Children
title Cardiac papillary fibroelastoma of a bicuspid aortic valve in an adolescent: A case report
title_full Cardiac papillary fibroelastoma of a bicuspid aortic valve in an adolescent: A case report
title_fullStr Cardiac papillary fibroelastoma of a bicuspid aortic valve in an adolescent: A case report
title_full_unstemmed Cardiac papillary fibroelastoma of a bicuspid aortic valve in an adolescent: A case report
title_short Cardiac papillary fibroelastoma of a bicuspid aortic valve in an adolescent: A case report
title_sort cardiac papillary fibroelastoma of a bicuspid aortic valve in an adolescent a case report
topic Cardiac papillary fibroelastoma
Bicuspid aortic valve
Children
url https://www.clinicsandpractice.org/index.php/cp/article/view/1135
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AT mariebehaeghe cardiacpapillaryfibroelastomaofabicuspidaorticvalveinanadolescentacasereport
AT mariechristineseghaye cardiacpapillaryfibroelastomaofabicuspidaorticvalveinanadolescentacasereport