Valvular papillary fibroelastomas : outcome of different Surgical approaches | ||||
Zagazig University Medical Journal | ||||
Article 19, Volume 28, Issue 2, March 2022, Page 327-332 PDF (524.95 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/zumj.2021.104045.2398 | ||||
View on SCiNiTO | ||||
Authors | ||||
ehab kassem 1; Sheeren Khaled2 | ||||
1cardiothoracic surgery department zagazig university hospital cardiac surgery department king abdullah medical city makkah | ||||
2cardiology department banha university hospital. cardiology department king abdullah medical city makkah | ||||
Abstract | ||||
Objective Papillary fibroelastoma(PFE) is the second most common benign cardiac tumors. Although very rare but it has unique histopathological structure making it with higher tendency to embolization with fatal systemic or pulmonary complications we present our experience in managing is very rare cardiac tumors . Surgery is the definitive treatment it can be done safely through conventional sternotomy or minimal invasive approach Methods From 2008 TO 2020 , 7 Patients have been operated for of valvular papillary fibroelastoma All are managed surgical base .4 aortic and 3 mitral cases. Surgical approach according to surgeon preference Results All patients treated surgical with excision of the mass, neurological cerebral vascular accident are the main complications. one case require Aortic valve replacement. Other mitral cases need ring annuloplasty for associated sever Mitral regurgitation. No mortality . Estimated ICU stay 30±7 hrs. and in patient hospital stay 5± 1.5 days. Conclusions papillary fibroelastoma(PFE) although benign but has fatal outcome secondary to higher tendency to embolize. High clinical suspicious should be raised correlated with diagnostic tool TTE. Surgery is the definitive treatment can be done conventionally or minimal invasive approach safely | ||||
Keywords | ||||
Papillary fibroelastoma; minimally invasive cardiac surgery; cardiac tumors | ||||
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