Papillary fibroelastoma of the pulmonary valve: a case report

Vol. 55 No. 2 Suppl., 2014
This supplement was not sponsored by Outside Organizations.


Adrian Molnar, Svetlana Encica, Emese Kovacs, Simona Manole, Diana Sacui, Ioan Muresan, Traian Scridon

Papillary fibroelastoma is a rare, benign cardiac tumor typically found on the heart valves, which is usually discovered incidentally on echocardiography. The clinical presentation of cardiac papillary fibroelastoma varies from no symptoms to severe embolic sequelae. We report the case of a 55-year-old female patient, with a suspicion of pulmonary embolism one year before, presently admitted to the hospital for mild respiratory symptoms; the trans-esophageal echocardiography (TEE) revealed a 10/10 mm tumoral mass attached on the pulmonary valve, confirmed also by the contrast-enhanced magnetic resonance imaging (MRI). Considering the embolization risk, we decided surgical removal, with favorable outcome. The pathologic exam of the removed tumor established the diagnosis of papillary fibroelastoma. The clinical and imaging assessment one month after surgery were within normal limits. The surgical removal of the papillary fibroelastoma of the pulmonary valve is mandatory for the elimination of embolization risk. The intervention is relatively secure, with low rates of morbidity and mortality.

Corresponding author: Adrian Molnar, Assistant Professor, MD; e-mail:

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Qing-hua Mao, Jing Li

During the educational dissection of a 72-year-old Chinese male cadaver, bilateral extensor digitorum brevis manus (EDBM) muscles were observed. The left EDBM muscle originated from the joint capsule ligament, running across the second dorsal interosseous muscle as double tendons (EDBM ulnar tendon and EDBM radial tendon) on the ulnar side of extensor digitorum communis (EDC)-index finger. The EDBM radial tendon positioned ventrally but inserted further to the ulnar tendon so that they made an X shape. The right EDBM muscle arose from dorsal radiocarpal ligament, coursing the second dorsal interosseous muscle and inserted into the ulnar side of EDC-index finger.

Corresponding author: Qing-hua Mao, Resident; e-mail:

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