A 65-year-old gentleman was admitted with recurrent dyspnea. Two-dimensional and transesophageal echocardiography revealed a highly mobile echogenic mass attached to the tricuspid valve. A 99mTc lung perfusion scan was suggestive of pulmonary embolism. The patient underwent surgical resection of the mass. Histopathological examination revealed a papillary fibroelastoma.
HowardRAAldeaGSShapiraOMKasznicaJMDavidoffR. Papillary fibroelastoma: increasing recognition of a surgical disease. Ann Thorac Surg1999; 68: 1881–1885.
2.
McAllistarHAJrFenoglioJJJr. Tumors of the cardiovascular system. Atlas of pathology, Fascicle 15, second series, Washington, DC: Armed Forces Institute of Pathology, 1978, pp. 1–25.
3.
SunJPAsherCRYangXS. Clinical and echocardiographic characteristics of papillary fibroelastomas: A retrospective and prospective study in 162 patients. Circulation2001; 103: 2687–2687.
4.
NeerukondaSKJantzRDVijayNKNarrodJASchoonmakerFW. Pulmonary embolization of papillary fibroelastoma arising from the tricuspid valve. Tex Heart Inst J1991; 18: 132–135.
5.
SydowKWillemsSReichenspurnerH. Papillary fibroelastomas of the heart. Thorac Cardiovasc Surg2008; 56: 9–13.
6.
EdwardsFHHaleDCohenAThompsonLPezzellaATVirmaniR. Primary cardiac valve tumors. Ann Thorac Surg1991; 52: 1127–1231.
7.
BooneSHigginsonLAWalleyVM. Endothelial papillary fibroelastomas arising in and around the aortic sinus, filling the ostium of the right coronary artery. Arch Pathol Lab Med1992; 116: 135–137.
8.
RobertsWC. Papillary fibroelastomas of the heart. Am J Cardiol1997; 80: 973–975.
