scholarly journals Papillary fibroelastoma of the aortic valve

2014 ◽  
Vol 71 (6) ◽  
pp. 600-602 ◽  
Author(s):  
Filip Vukmirovic ◽  
Mihailo Vukmirovic ◽  
Irena Tomasevic-Vukmirovic
Keyword(s):  
Aortic Valve ◽  
Benign Tumor ◽  
Clinical Presentation ◽  
Incidental Finding ◽  
Papillary Fibroelastoma ◽  
Cardiac Tumors ◽  
Autopsy Case ◽  
Primary Tumors ◽  
Echocardiographic Examination ◽  
History Of

Introduction. Primary tumors of the heart are rare, usually benign and occur mostly in adults, and usually originate from the endocardium, followed by the myocardium and rarest of the pericardium. Papillary fibroelastoma accounts for less than 10% of all cardiac tumors, but they are most common valvular tumors. The clinical presentation of papillary fibroelastoma varies from asymptomatic cases to cases which have severe clinical presentation that is most likely due to embolic complications. Tumor can usually be discovered by echocardiography or during autopsy. Case report. We reported a case of 53- year-old man submitted to routine echocardiographic examination. The patient had the history of hypertension for five years, without any other symptoms. Echocardiography found a round tumor attached to the noncoronary cuspis of the aortic valve. The tumor was surgically removed and pathohistological examination confirmed diagnosis of papillary fibroelastoma. After surgery the patient fully recovered without tumor recurrence or aortic regurgitation. Conclusion. Histologically, papilary fibroelastoma is benign tumor of the heart. As demonstrated in this case, a papillary fibroelastoma can be an incidental finding discovered during echocardiography in patients with the history of hypertension.

Robotic, totally endoscopic excision of mitral valve papillary fibroelastoma

2021 ◽  
Keyword(s):  
Mitral Valve ◽  
Aortic Valve ◽  
Tricuspid Valve ◽  
Benign Tumor ◽  
Pulmonary Valve ◽  
Papillary Fibroelastoma ◽  
Robotic Assisted ◽  
Endoscopic Excision ◽  
Rare Benign Tumor ◽  
Sixth Decade

Papillary fibroelastoma is a rare, benign tumor that affects males more frequently than females and that tends to be diagnosed during the fifth or sixth decade of life. It tends to arise on cardiac valves, with the aortic valve being the most frequent location followed by the mitral valve, the tricuspid valve, and the pulmonary valve. We present the case of a robotic-assisted, totally endoscopic excision of a mitral valve papillary fibroelastoma.

scholarly journals Papillary Fibroelastoma of the Ascending Aorta

2019 ◽  
Vol 7 ◽  
pp. 232470961984037
Author(s):  
Karim M. Al-Azizi ◽  
Mohanad Hamandi ◽  
Ronald Baxter ◽  
Anita Krueger ◽  
Alexander W. Crawford ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Ascending Aorta ◽  
Embolic Stroke ◽  
Papillary Fibroelastoma ◽  
Cardiac Tumors ◽  
Unusual Site ◽  
Sinotubular Junction ◽  
Primary Cardiac Tumors

Papillary fibroelastomas are rare benign primary cardiac tumors. They are typically found on valvular surfaces, most commonly, the aortic valve. In this article, we report a case of papillary fibroelastoma arising from the sinotubular junction of the ascending aorta, a rare and unusual site causing an embolic stroke.

Primary Peritoneal Serous Borderline Tumors

2007 ◽  
Vol 131 (1) ◽  
pp. 138-144 ◽  
Author(s):  
C. P. T. Robert L. Hutton, MC ◽  
M. A. J. Scott R. Dalton, MC
Keyword(s):  
Clinical Presentation ◽  
Incidental Finding ◽  
Serous Carcinoma ◽  
Borderline Tumor ◽  
Epithelial Proliferation ◽  
National Library ◽  
Psammoma Bodies ◽  
Serous Borderline Tumor ◽  
History Of ◽  
Papillary Serous Carcinoma

Abstract Context.—Primary peritoneal serous borderline tumor is a rare epithelial proliferation that can present as an incidental finding at laparotomy and raises concern for a primary ovarian tumor with peritoneal implants. Objective.—To present a brief history of this condition and describe its distinctive histology and clinical presentation, as well as to review the chief differential diagnostic considerations, to include mesothelial proliferations, endosalpingiosis, endometriosis, high-grade primary peritoneal papillary serous carcinoma, and implants from primary ovarian serous neoplasms. Data Sources.—Relevant articles indexed in PubMed (National Library of Medicine) between 1966 and 2005, references thereof, and reference surgical pathology texts. Conclusions.—Primary peritoneal serous borderline tumor should be considered in the differential diagnosis of an epithelial proliferation with prominent psammoma bodies on the peritoneal surface of specimens submitted for nongynecologic complaints.

scholarly journals Autologous Pericardial Patch Repair for Papillary Fibroelastoma on an Aortic Valve Leaflet

2017 ◽  
Vol 44 (2) ◽  
pp. 144-146 ◽  
Author(s):  
Tomoki Sakata ◽  
Mitsuru Nakaya ◽  
Masayoshi Otsu ◽  
Toru Sunazawa ◽  
Yutaka Wakabayashi
Keyword(s):  
Aortic Valve ◽  
Frozen Section ◽  
Papillary Fibroelastoma ◽  
Patch Repair ◽  
Pericardial Patch ◽  
Valve Leaflet ◽  
Aortic Valve Leaflet ◽  
Autologous Pericardial Patch ◽  
History Of ◽  
Pericardial Patch Repair

A 50-year-old man with no history of cardiovascular disease was referred to our hospital because of an abnormal electrocardiogram. Echocardiograms and computed tomograms revealed a 9-mm mass on the underside of an aortic valve leaflet. We chose surgical treatment, to prevent embolic events. The tumor's appearance and intraoperative frozen section were consistent with myxoma. We resected the tumor and its attachment, including the free margin of the aortic valve leaflet, and repaired the defect with use of a glutaraldehyde-treated autologous pericardial patch. The postoperative histopathologic diagnosis was papillary fibroelastoma. Six months later, echocardiograms showed mild aortic regurgitation and no recurrence of the aortic valve mass. Papillary fibroelastoma and myxoma can be difficult to distinguish intraoperatively, yet the diagnosis has considerable influence on the surgical strategy, including whether valve-sparing excision is an option. Therefore, it is necessary to at least suspect both entities if the tumor characteristics are unusual. This case is instructive for surgeons and pathologists.

Double valve involvement: papillary fibroelastoma in a patient with severe mitral and aortic valve regurgitation

2020 ◽  
Vol 13 (7) ◽  
pp. e234828
Author(s):  
Oyintayo Ajiboye ◽  
Jan Michael Racoma ◽  
Kifah Hussain ◽  
Benjamin Mba
Keyword(s):  
Aortic Valve ◽  
Valve Replacement ◽  
Incidental Finding ◽  
Clinical Manifestations ◽  
Benign Neoplasm ◽  
Papillary Fibroelastoma ◽  
Pulmonary Vasculature ◽  
Valve Regurgitation ◽  
Aortic Valve Regurgitation ◽  
Double Valve Replacement

Cardiac papillary fibroelastoma is a benign neoplasm that arises in the endocardium. It commonly presents as an incidental finding on transthoracic echocardiography or as emboli to the coronary, cerebral or pulmonary vasculature. Clinical manifestations described in the literature have generally been related to a sequelae of the associated embolic phenomenon of these lesions. Valve regurgitation is less common with papillary fibroelastoma and when found, it is not known to cause severe regurgitation requiring valve replacement. We report a case of papillary fibroelastoma in a patient with severe mitral and aortic valve regurgitation in association with mobile masses requiring double valve replacement. This patient managed initially as infective endocarditis with severe double valve regurgitation, was found to have valvular masses concernng for papillary fibroelastoma and subsequently confirmed on pathology.

scholarly journals Right ectopic intrathoracic kidney: Unusual clinical presentation in a young patient affected by scrotal varicocele

2017 ◽  
Vol 89 (4) ◽  
pp. 323 ◽  
Author(s):  
Lucio Dell'Atti ◽  
Andrea Benedetto Galosi
Keyword(s):  
Computed Tomography ◽  
Renal Function ◽  
Clinical Presentation ◽  
Incidental Finding ◽  
Abdominal Ultrasound ◽  
Kidney Tumors ◽  
First Case ◽  
History Of ◽  
Intrathoracic Kidney ◽  
Good Drainage

Intrathoracic kidney is a partial or complete displacement of the kidney above the hemidiaphragm into the mediastinal compartment of the thorax. It is usually seen as an incidental finding discovered on chest radiograph or abdominal ultrasound. However computed tomography consents the correct detection of intrathoracic masses and defines their shape, size, and extent. We here report a case of ectopic thoracic kidney in a 22-year-old man who had a long history of scrotal discomfort associated with right varicocele. Frequently, this ectopia does not affect renal function and the stretched ureter provides good drainage. In literature, a small number of cases shows that varicocele is a possible mode of presentation of kidney tumors, but this is the first case of varicocele secondary to intrathoracic kidney ectopia.

Rare Primary Embryonal Carcinoma in the Brachial Plexus: A Case Report and Literature Review

Neurosurgery ◽  
2019 ◽  
Vol 87 (2) ◽  
pp. E152-E155 ◽  
Author(s):  
Huihao Chen ◽  
Gang Yin ◽  
Na Cui ◽  
Haodong Lin
Keyword(s):  
Brachial Plexus ◽  
Embryonal Carcinoma ◽  
Clinical Presentation ◽  
Middle Part ◽  
Resonance Imaging ◽  
Primary Tumors ◽  
Nerve Sheath Tumors ◽  
Peripheral Nerve Sheath Tumors ◽  
Nerve Sheath ◽  
History Of

Abstract BACKGROUND AND IMPORTANCE Primary tumors of the brachial plexus are rare. Most are benign and characterized as Schwannoma and neurofibroma, whereas malignant peripheral nerve sheath tumors are less common. Here, we report a rare case of primary embryonal carcinoma in the brachial plexus. CLINICAL PRESENTATION A 17-yr-old male presented with a 3-mo history of a mass growing in the left supraclavicular region over the middle part of the clavicle. Magnetic resonance imaging revealed a well-defined mass (diameter 2.5 cm) straddling the brachial plexus. After surgical resection, and the mass was histologically confirmed to be an embryonal carcinoma. CONCLUSION Primary embryonal carcinoma in the brachial plexus has not been reported previously. This case highlights the importance of considering the possibility that some primary brachial plexus tumors may be malignant and should be treated promptly.

scholarly journals Unusual Presentation of Aortic Valve Infective Endocarditis in a Dog: Aorto-Cavitary Fistula, Tricuspid Valve Endocarditis, and Third-Degree Atrioventricular Block

Animals ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 690
Author(s):  
Giovanni Romito ◽  
Alessia Diana ◽  
Antonella Rigillo ◽  
Maria Morini ◽  
Mario Cipone
Keyword(s):  
Infective Endocarditis ◽  
Aortic Valve ◽  
Atrioventricular Block ◽  
Tricuspid Valve ◽  
Subaortic Stenosis ◽  
Echocardiographic Examination ◽  
History Of ◽  
Echocardiographic Findings ◽  
Tricuspid Valve Endocarditis ◽  
Third Degree Atrioventricular Block

A 2-year-old Boxer with a history of subaortic stenosis and immunosuppressant therapy developed aortic valve infective endocarditis. On echocardiographic examination with simultaneous electrocardiographic tracing, multiple uncommon periannular complications of the aortic valve endocarditis were found, including aorto-cavitary fistula with diastolic left-to-right shunt, tricuspid valve endocarditis, and third-degree atrioventricular block. Necropsy confirmed the above echocardiographic findings. Although aortic valve endocarditis represents a well-known disease entity in dogs, the dynamic nature of this condition may allow development of complex and uncommon echocardiographic features.

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