Valvular papillary fibroelastomas : outcome of different Surgical approaches

Kassem, Ehab; Khaled, Sheeren

doi:10.21608/zumj.2021.104045.2398

Valvular papillary fibroelastomas : outcome of different Surgical approaches

Document Type : Original Article

Authors

ehab kassem ¹
Sheeren Khaled ²

¹ cardiothoracic surgery department zagazig university hospital cardiac surgery department king abdullah medical city makkah

² cardiology department banha university hospital. cardiology department king abdullah medical city makkah

10.21608/zumj.2021.104045.2398

Abstract

Objective
Papillary fibroelastoma(PFE) is the second most common benign cardiac tumors.
Although very rare but it has unique histopathological structure making it with higher tendency to embolization with fatal systemic or pulmonary complications
we present our experience in managing is very rare cardiac tumors . Surgery is the definitive treatment it can be done safely through conventional sternotomy or minimal invasive approach
Methods
From 2008 TO 2020 , 7 Patients have been operated for of valvular papillary fibroelastoma
All are managed surgical base .4 aortic and 3 mitral cases.
Surgical approach according to surgeon preference
Results
All patients treated surgical with excision of the mass, neurological cerebral vascular accident are the main complications. one case require Aortic valve replacement. Other mitral cases need ring annuloplasty for associated sever Mitral regurgitation. No mortality . Estimated ICU stay 30±7 hrs. and in patient hospital stay 5± 1.5 days.
Conclusions
papillary fibroelastoma(PFE) although benign but has fatal outcome secondary to higher tendency to embolize. High clinical suspicious should be raised correlated with diagnostic tool TTE. Surgery is the definitive treatment can be done conventionally or minimal invasive approach safely

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