Case of the Week: Top 5 2020 Competition-Tricuspid Valve Papillary Fibroelastoma

Tricuspid Valve Papillary Fibroelastoma

Video Transcription

Video Summary

A 59-year-old man with NSTEMI was found on echocardiography to have a mass on the septal leaflet of the tricuspid valve. Cardiac MRI showed a 9 × 7 mm mobile lesion with signal similar to myocardium and intense homogeneous late gadolinium enhancement, favoring tricuspid valve papillary fibroelastoma. The patient underwent surgical resection, and histopathology confirmed the diagnosis. The presentation also reviewed cardiac tumor epidemiology, noting that papillary fibroelastoma is the second most common cardiac tumor and that MRI helps distinguish tumors from thrombus or vegetation by their enhancement patterns.

Keywords

tricuspid valve papillary fibroelastoma

NSTEMI

cardiac MRI

late gadolinium enhancement

cardiac tumor histopathology