Case report

Papillary fibroelastoma of the left atrial wall: a case report

Murat Bicer¹ , Mustafa Cikirikcioglu¹ , Erman Pektok¹ , Hajo Müller² , Sarah Dettwiler³ and Afksendiyos Kalangos¹

¹  Department of Cardiovascular Surgery, University Hospital and Medical Faculty of Geneva, Geneva, Switzerland

²  Department of Cardiology, University Hospital and Medical Faculty of Geneva, Geneva, Switzerland

³  Department of Clinical Pathology, University Hospital and Medical Faculty of Geneva, Geneva, Switzerland

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Journal of Cardiothoracic Surgery 2009, 4:28doi:10.1186/1749-8090-4-28

Published:	1 July 2009

Abstract

Cardiac papillary fibroelastoma is a rare, benign cardiac tumor. It often arises from valvular endocardium, and non-valvular endocardial location is rare. Although transthoracic echocardiography is usually sufficient for the diagnosis of most cardiac tumors, small tumors such as papillary fibroelastoma may be missed. Transesophageal echocardiography is superior to transthoracic echocardiography in diagnosing these tumors. Despite their benign histology, and independent of their size, they should be resected surgically because of their high potential for embolization.

In this report, we present a case of papillary fibroelastoma located on the left atrial wall, presenting with symptoms of cerebral ischemia. The patient was treated surgically for the prevention of further embolic complications. Pertinent literature is also reviewed for this rare and benign cardiac tumor.