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Incidental tricuspid valve fibroelastoma associated with patent foramen ovale in a young female: Straightforward diagnosis but controversial management

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Papillary fibroelastoma is an uncommon primary cardiac tumor, predominantly associated with left‐sided valvular endocardium. Affectation of tricuspid valve leaflets is rare, and management in asymptomatic patients remains controversial. We present… Click to show full abstract

Papillary fibroelastoma is an uncommon primary cardiac tumor, predominantly associated with left‐sided valvular endocardium. Affectation of tricuspid valve leaflets is rare, and management in asymptomatic patients remains controversial. We present a 30‐year‐old female referred for evaluation prior to bariatric surgery. A routine echocardiogram revealed a mobile cardiac mass attached to the tricuspid valve. A patent foramen ovale was also present. Tumor was surgically removed. Histology confirmed the definite diagnosis of a papillary fibroelastoma. In our case, the presence of a patent foramen ovale associated with the right‐sided fibroelastoma was decisive in the decision for surgery.

Keywords: patent foramen; fibroelastoma; foramen ovale; management; tricuspid valve

Journal Title: Echocardiography
Year Published: 2017

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