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A Rare Case of Large Nonvalvular Papillary Fibroelastoma Manifesting As Vertigo and Exertional Dyspnea Publisher



Behjati M1 ; Mirmohammadsadeghi M1 ; Abadi E1 ; Paknahad MH1 ; Adibhajbagheri P1
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Authors Affiliations
  1. 1. Department of Cardiology, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of the Saudi Heart Association Published:2024


Abstract

Background: Papillary fibroelastoma (PFE) is an uncommon benign cardiac tumor, typically arising from valvular structures. Nonvalvular PFEs are exceedingly rare and may present with diverse symptoms. Case presentation: We present a case of a 46-year-old woman with positional vertigo and exertional dyspnea. Transthoracic echocardiography revealed a mobile oval-shaped mass in the left ventricle. Cardiac magnetic resonance imaging suggested a large papillary fibroelastoma. The tumor was successfully resected, and histopathological examination confirmed the diagnosis. Conclusion: This case highlights the importance of thorough imaging and surgical intervention in managing large, nonvalvular PFEs, which, although rare, can lead to significant complications. © 2024 Saudi Heart Association.