Papillary Fibroelastoma

 

Image Library Home >> Cardiac Tumors >> Papillary Fibroelastoma
  • Small AV Fibroelastoma
  • Large AV Fibroelastoma

 

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This long axis TEE view shows a small mass with strands attached to the aortic valve cusp. This is a common location for a papillary fibroelastoma. Small ones like this one may confused with lambl's excrescences which are thought to be small degenerative filiform strands commonly seen on the valves of older individuals.

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A short axis view shows that this is indeed a papillary fibroelastoma with a clear small mass attached to the right coronary cusp. Larger fibroelastomas, as shown in example 2 can cause symptoms and embolize.

 

 

 

 

 

 

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This example shows a larger papillary fibroelastoma in the TEE short axis view, which was symptomatic (stroke and TIA like symptoms) and had to be removed. Note that, compared to example 1, it is a more clearly visible round shaped mass attached by a stalk to the aortic valve.

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This zoomed in view shows that the fibroelastoma is attached to the left coronary cusp.

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A long axis view also gives a sense for the size and location of the mass, classically found on the aortic side of the valve.