Popovic, Christina, Yong, Matthew S., Saxena, Pankaj, and Yadav, Sumit (2019) Papillary fibroelastoma: a unique case of distant recurrence. Journal of Thoracic and Cardiovascular Surgery, 157 (4). E125-E127.

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Abstract

Primary cardiac tumors are rare, with an incidence of 0.001%to 0.28% in autopsy series.(1) The third most common primary tumor, although likely under diagnosed, is the cardiac papillary fibroelastoma (CPF).(2) These tumors are benign, do not exhibit local infiltration on histopathologic examination, and carry a low likelihood of recurrence.(3) After excision, recurrence is rare, with a total of4 reported cases of recurrence. Tamin and colleagues2re-ported 3 cases, occurring at 1, 5, and 6 years after initial surgery, that they described as at or near the previous surgical excision site. Kammerer and associates (3) described a case of mitral valve recurrence after 3 years but hypothesized that incomplete resection in attempt to preserve the valve was the likely underlying mechanism. We report a unique case of recurrent CPF after previous resection,occurring at multiple alternate sites throughout the left ventricle (LV).

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