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Papillary Fibroelastoma in Differential Diagnosis of Left Atrial Appendage Masses.

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Papillary fibroelastomas are benign tumors that usually originate from cardiac valves but may have other endocardial origins. We report the cases of 2 patients in whom left atrial appendage masses… Click to show full abstract

Papillary fibroelastomas are benign tumors that usually originate from cardiac valves but may have other endocardial origins. We report the cases of 2 patients in whom left atrial appendage masses were initially diagnosed as thrombus. They were treated for embolic stroke and their symptoms resolved; however, their left atrial appendage masses did not regress. After surgery, histologic analysis of the resected masses revealed papillary fibroelastoma in both cases. We discuss the diagnostic and therapeutic dilemmas encountered in patients with papillary fibroelastomas and cardiac masses other than thrombus.

Keywords: left atrial; papillary fibroelastoma; appendage masses; atrial appendage; fibroelastoma differential

Journal Title: Texas Heart Institute journal
Year Published: 2021

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