Cardiac tumors surgery

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Overview

Surgery

Papillary Fibroelastoma

  • Surgery is the mainstay of therapy for papillary fibroelastoma.
  • Surgical excision is generally recommended among patients with papillary fibroelastoma (for symptomatic relief).
  • A minimally invasive approach may be possible if the tumor involves the aortic valveor right atrium.[1]
  • In the case of aortic valve involvement, excision of the tumor is often valve-sparing, meaning that replacement of the valve with a prosthetic valve is not necessary. Repair of the native valve with a pericardial patch has been described.[2]

References

  1. Kim RW, Jeffery ME, Smith MJ, Wilensky RL, Woo EY, Woo YJ. (2007). "Minimally invasive resection of papillary fibroelastoma in a high-risk patient". J Cardiovasc Med (Hagerstown). 8 (8): 639–41. PMID 17667039.
  2. Westhof FB, Chryssagis K, Liangos A, Batz G, Diegeler A. (2007). "Aortic valve leaflet reconstruction after excision of a papillary fibroelastoma using autologous pericardium". Thorac Cardiovasc Surg. 55 (3): 204–7. PMID 17410513.

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