ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
An unusual presentation of a cardiac papillary fibroelastoma: a case report
Kürşad Öz1, İbrahim Faruk Aktürk2, Mustafa Özer Ulukan3, Burak Ersoy1, Ersin Erek1
Departments of Cardiovascular Surgery, Mehmet Akif Ersoy Training and Research Hospital, İstanbul, Turkey
1Departments of Cardiovascular Surgery, Mehmet Akif Ersoy Training and Research Hospital, İstanbul, Turkey
2Departments of Cardiology, Mehmet Akif Ersoy Training and Research Hospital, İstanbul, Turkey
3Departments of Cardiovascular Surgery, Gaziosmanpaşa Taksim Training and Research Hospital, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2014.9549
In this article, we report an uncommon case of cardiac fibroelastoma originating from the left atrial septum. The mass moved from the mitral valve through the left ventricle in each atrial systole. However, the patient was free of any cardiac or cerebral symptom. Based on the echocardiographic findings, the mass was considered the left atrial myxoma and the patient was primarily scheduled for surgery. The mass which adhered to the left atrial septum was excised with the septum. Surgical septal defect was closed with an autologous pericardial patch. Intraoperative transesophageal echocardiography revealed no residual mass with a normal mitral valve function. The definitive diagnosis is made by histopathological examination. Papillary fibroelastomas originating from septum are extremely rare, but have high-risk for cerebrovascular embolism due to their location. Despite histopathologically benign nature, early diagnosis and treatment is of utmost importance due to fatal complication risks.
Keywords : Atrial septum; cardiac tumor; papillary fibroelastoma
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