An Unexpected Finding on Echocardiography in a Patient with Fatigue: A Two-Centimeter Papillary Fibroelastoma

Abstract

Cardiac papillary fibroelastomas (CPFs) are rare primary cardiac tumors. The majority of these tumors are located on valvular surfaces. Although most patients are asymptomatic, some patients may be complicated by stroke, myocardial infarction and even sudden cardiac death. The diagnosis of CPFs can be very challenging. An 83-year-old male patient presented to the outpatient clinic with the complaint of fatigue and a 2 cm lesion with soft tissue echo pattern was detected in the left atrium. Among differential diagnosa of the lesion based on both echocardiogram and cardiac magnetic resonance images (MRIs) were thrombus, myxoma, Lambl’s excrescence and vegetation. Pathological examination after prompt surgery revealed papillary fibroelastoma. We planned to present this case with both echocardiographic and MRI findings.