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- W3104529513 abstract "A 58-year-old lady presented to primary care doctor with chest pain, shortness of breath and fatigue with weight loss. An echocardiogram was done privately which suggested a probable myxoma in the left ventricular apex. She was referred on to a quaternary level hospital for further workup. Her background history included peripheral arterial disease with previous left common femoral endarterectomy and left ilio-femoral stent, chronic obstructive airways disease with ongoing nicotine dependence, iron deficiency anaemia due to small bowel angioectatic lesions, melanoma excision from left leg, dyslipidaemia and hypertension. A detailed in- hospital echocardiogram showed preserved LV function with mobile pedunculated LV apical mass 2.6cm x 2.4cm. A myocardial contrast perfusion study showed central core of perfusion defect with vascularisation of circumferential tissue to suggest a neoplastic mass. Cardiac MRI scan confirmed the mass with enhancement pattern indicating that it’s not a thrombus. PET FDG scan showed that the LV mass was not FDG avid. She underwent open heart surgery for excision of the LV mass. It appeared as an exophytic mass composed of white string like projections extending from myocardium and was surrounded by a clear gelatinous tissue. Histopathology showed papillary fibroelastoma (PFE) arising from ventricular endocardium. Papillary fibroelastomas (PFE) are common benign cardiac tumours and mostly found attached to valvular leaflets. This case is unique given the rare location of the tumour. Multimodality imaging is useful in preoperative diagnosis of LV masses. Despite benign nature, large PFE has substantial risk of embolisation and require surgical removal." @default.
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- W3104529513 date "2020-01-01" @default.
- W3104529513 modified "2023-10-16" @default.
- W3104529513 title "327 Echocardiographic Assessment and Supplementary Contrast Enhanced Images of a Left Ventricular Mass" @default.
- W3104529513 doi "https://doi.org/10.1016/j.hlc.2020.09.334" @default.
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