The Experts below are selected from a list of 2469 Experts worldwide ranked by ideXlab platform
Terrence J. Sacchi - One of the best experts on this subject based on the ideXlab platform.
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Cardiac Papillary Fibroelastoma Originating from Pulmonary Vein
2016Co-Authors: Ramesh M. Gowda, Ijaz A. Khan, Nirav J. Mehta, Mamatha R. Gowda, Toby I. Gropen, Ozgen M. Dogan, Balendu C. Vasavada, Terrence J. SacchiAbstract:Cardiac Papillary Fibroelastoma is a primary cardiac neoplasm that typically affects the cardiac valves, mainly the aortic and mitral valves, and very rarely the endocardium of cardiac chambers. Cardiac Papillary Fibroelastoma is rarely diagnosed during life, as the majority are incidental findings at autopsy, but with the advent of echocardiography, it is being increasingly recognized. Although the tumor is usually small and histologically benign, it may have a malignant propensity for life-threatening complications, such as a cerebrovascular accident, myocardial ischemia or infarction, or sudden death. The patient reported here presented with an embolic stroke from a thrombus on the surface of a left atrial Papillary Fibroelastoma. The Papillary Fibroelastoma was originating from the lower portion of the left inferior pulmonary vein and was protruding into the left atrial cavity. Papillary Fibroelastoma originating from the pulmonary veins has not been reported before. The tumor was successfully removed by intra-operative transesophageal echocardiography-guided cardiac surgery. Grossly, the surface of the tumor was smooth and translucent. The gelatinous membrane on the surface tore easily, and soft Papillary tumor with multiple fronds was visible. Histology confirmed the mass was a Papillary Fibroelastoma. Postoperative recovery was uneventful. Follow-up transthoracic echocardiogram revealed no residual or recurrence of tumor. The patient was in excellent health at 2-year follow-up. The case is described and the clinical characteristics of cardiac Papillary Fibroelastoma are reviewed
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Cardiac Papillary Fibroelastoma originating from pulmonary vein--a case report.
Angiology, 2002Co-Authors: Ramesh M. Gowda, Ijaz A. Khan, Nirav J. Mehta, Mamatha R. Gowda, Toby I. Gropen, Ozgen M. Dogan, Balendu C. Vasavada, Terrence J. SacchiAbstract:Cardiac Papillary Fibroelastoma is a primary cardiac neoplasm that typically affects the cardiac valves, mainly the aortic and mitral valves, and very rarely the endocardium of cardiac chambers. Cardiac Papillary Fibroelastoma is rarely diagnosed during life, as the majority are incidental findings at autopsy, but with the advent of echocardiography, it is being increasingly recognized. Although the tumor is usually small and histologically benign, it may have a malignant propensity for life-threatening complications, such as a cerebrovascular accident, myocardial ischemia or infarction, or sudden death. The patient reported here presented with an embolic stroke from a thrombus on the surface of a left atrial Papillary Fibroelastoma. The Papillary Fibroelastoma was originating from the lower portion of the left inferior pulmonary vein and was protruding into the left atrial cavity. Papillary Fibroelastoma originating from the pulmonary veins has not been reported before. The tumor was successfully removed by intraoperative transesophageal echocardiography-guided cardiac surgery. Grossly, the surface of the tumor was smooth and translucent. The gelatinous membrane on the surface tore easily, and soft Papillary tumor with multiple fronds was visible. Histology confirmed the mass was a Papillary Fibroelastoma. Postoperative recovery was uneventful. Follow-up transthoracic echocardiogram revealed no residual or recurrence of tumor. The patient was in excellent health at 2-year follow-up. The case is described and the clinical characteristics of cardiac Papillary Fibroelastoma are reviewed.
Ross A. Davies - One of the best experts on this subject based on the ideXlab platform.
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Papillary Fibroelastoma of the pulmonary valve
The Canadian journal of cardiology, 2006Co-Authors: Moheb Ibrahim, Roy G. Masters, Mark Hynes, John P. Veinot, Ross A. DaviesAbstract:There is a lack of information regarding the diagnosis and management of Papillary Fibroelastoma of the pulmonary valve due to the rarity of the tumour at this location. A case of pulmonary valve Papillary Fibroelastoma in a 60-year-old woman is reported and the approach for diagnosis and management is described.
Ramesh M. Gowda - One of the best experts on this subject based on the ideXlab platform.
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Cardiac Papillary Fibroelastoma Originating from Pulmonary Vein
2016Co-Authors: Ramesh M. Gowda, Ijaz A. Khan, Nirav J. Mehta, Mamatha R. Gowda, Toby I. Gropen, Ozgen M. Dogan, Balendu C. Vasavada, Terrence J. SacchiAbstract:Cardiac Papillary Fibroelastoma is a primary cardiac neoplasm that typically affects the cardiac valves, mainly the aortic and mitral valves, and very rarely the endocardium of cardiac chambers. Cardiac Papillary Fibroelastoma is rarely diagnosed during life, as the majority are incidental findings at autopsy, but with the advent of echocardiography, it is being increasingly recognized. Although the tumor is usually small and histologically benign, it may have a malignant propensity for life-threatening complications, such as a cerebrovascular accident, myocardial ischemia or infarction, or sudden death. The patient reported here presented with an embolic stroke from a thrombus on the surface of a left atrial Papillary Fibroelastoma. The Papillary Fibroelastoma was originating from the lower portion of the left inferior pulmonary vein and was protruding into the left atrial cavity. Papillary Fibroelastoma originating from the pulmonary veins has not been reported before. The tumor was successfully removed by intra-operative transesophageal echocardiography-guided cardiac surgery. Grossly, the surface of the tumor was smooth and translucent. The gelatinous membrane on the surface tore easily, and soft Papillary tumor with multiple fronds was visible. Histology confirmed the mass was a Papillary Fibroelastoma. Postoperative recovery was uneventful. Follow-up transthoracic echocardiogram revealed no residual or recurrence of tumor. The patient was in excellent health at 2-year follow-up. The case is described and the clinical characteristics of cardiac Papillary Fibroelastoma are reviewed
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Cardiac Papillary Fibroelastoma originating from pulmonary vein--a case report.
Angiology, 2002Co-Authors: Ramesh M. Gowda, Ijaz A. Khan, Nirav J. Mehta, Mamatha R. Gowda, Toby I. Gropen, Ozgen M. Dogan, Balendu C. Vasavada, Terrence J. SacchiAbstract:Cardiac Papillary Fibroelastoma is a primary cardiac neoplasm that typically affects the cardiac valves, mainly the aortic and mitral valves, and very rarely the endocardium of cardiac chambers. Cardiac Papillary Fibroelastoma is rarely diagnosed during life, as the majority are incidental findings at autopsy, but with the advent of echocardiography, it is being increasingly recognized. Although the tumor is usually small and histologically benign, it may have a malignant propensity for life-threatening complications, such as a cerebrovascular accident, myocardial ischemia or infarction, or sudden death. The patient reported here presented with an embolic stroke from a thrombus on the surface of a left atrial Papillary Fibroelastoma. The Papillary Fibroelastoma was originating from the lower portion of the left inferior pulmonary vein and was protruding into the left atrial cavity. Papillary Fibroelastoma originating from the pulmonary veins has not been reported before. The tumor was successfully removed by intraoperative transesophageal echocardiography-guided cardiac surgery. Grossly, the surface of the tumor was smooth and translucent. The gelatinous membrane on the surface tore easily, and soft Papillary tumor with multiple fronds was visible. Histology confirmed the mass was a Papillary Fibroelastoma. Postoperative recovery was uneventful. Follow-up transthoracic echocardiogram revealed no residual or recurrence of tumor. The patient was in excellent health at 2-year follow-up. The case is described and the clinical characteristics of cardiac Papillary Fibroelastoma are reviewed.
Shoichi Haraoka - One of the best experts on this subject based on the ideXlab platform.
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Papillary Fibroelastoma in the left ventricular outflow tract
Heart and Vessels, 1992Co-Authors: Shinji Uchida, Naotsugu Obayashi, Hiroshi Yamanari, Katashi Matsubara, Daiji Saito, Shoichi HaraokaAbstract:We report a case of a Papillary Fibroelastoma originating from the left ventricular endocardium in the outflow tract which was discovered by echocardiography in an asymptomatic patient. Two echocardiographic features were observed: (1) the tumor surface was smooth, and characteristic Papillary formation was not detected; and (2) the outline of the mass was clearly defined as a dense echo, with the central, radiolucent, portion surrounded by a highly refractive linear echo at the level of the maximum diameter of the mass. The excised tumor was covered with a gelatinous substance that masked multiple papillae on the surface, but its echolucent center could not be explained by the pathology of the tumor which was solid centrally. Our case indicates that a Papillary Fibroelastoma may sometimes show echocardiographic findings similar to those of a myxoma, although other investigators have not noted the smooth surface and the echolucent center makes it indistinguishable from a myxoma. Thus, in some cases, it is difficult to distinguish Papillary Fibroelastoma from myxoma by echocardiography.
Tomoaki Jikuya - One of the best experts on this subject based on the ideXlab platform.
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Surgical treatment for Papillary Fibroelastoma of the aortic valve
General Thoracic and Cardiovascular Surgery, 2009Co-Authors: Akinobu Sasaki, Masataka Sato, Tomoaki JikuyaAbstract:Although cardiac Papillary Fibroelastomas are benign tumors, they have the potential to cause life-threatening complications such as stroke and myocardial infarction and may even lead to sudden cardiac death. We report a case of surgical treatment for a Papillary Fibroelastoma of the aortic valve. The patient was a 62-year-old woman who was asymptomatic for cardiac Papillary Fibroelastoma. Echocardiography demonstrated a mobile, rounded mass on the left coronary cusp of the aortic valve. The patient underwent surgical excision, had an uneventful recovery, and was discharged 10 days after the operation. Pathology examination confirmed Papillary Fibroelastoma. Surgical excision of the tumor is recommended for patients with symptoms, but the treatment of asymptomatic patients is controversial. We believe that surgical treatment should be performed if the tumor is mobile.
