International Journal of Clinical and Medical Imaging

Contribution of conventional imaging in the diagnosis of cardiac valvular fibroelastoma - A case report and literature review

* Ilyas El Kassimi
Department Of Cardiology, Rabat, Morocco

*Corresponding Author:
Ilyas El Kassimi
Department Of Cardiology, Rabat, Morocco
Email:dr.elkassimiilyas@gmail.com

Published on: 2019-04-15

Abstract

Papillary fibroelastoma is a rare benign primary cardiac tumor that can lead to severe embolic complications. We report a case of papillary fibroelastoma of the aortic valve revealed by a transient ischemic attack on a 45 years old woman. It was in the context of the etiological assessment of this ischemic accident that transthoracic echocardiography had shown a small, pedunculated mobile and echo dense mass on the aortic valve which was later confirmed by a transesophageal echocardiography of which ultrasound characteristics are in favor of papillary fibroelastoma. In front of the high emboligenic potential, the mass was excised and histologically analyzed and the diagnosis of fibroelastoma was confirmed. The evolution after the intervention was favorable with the absence of signs of tumor recurrence and good functioning of the aortic valve. Like all tumors, the confirmation of the diagnosis is obtained after a pathological study. However, the interest of this paper is to raise the primordial role of imaging in the positive diagnosis of papillary fibroelastoma by showing very characteristic aspects of this tumor which makes it possible to evoke it in the first intention.

Keywords

Papillary Fibroelastoma; Transthoracic Echocardiography; Transesophageal,Echocardiography; Aortic Valve; Surgery

Introduction

Papillary fibroelastoma is a primary cardiac tumor benign. It accounts for about 7% of heart tumors primitives. Although the prevalence of primary cardiac tumors ranges from 0.0017-0.28% [1,2], the papillary fibroelastomas (PFE) are the third in order of frequency after the myxoma and lipoma [3]. We report a case of papillary fibroelastoma by insisting on the fundamental place of imaging techniques in diagnosis especially transthoracic echocardiography and transesophageal echocardiography.