Finger ischemia in a young lady: an unusual presentation of papillary fibroelastoma with intraventricular location

Monaldi Arch Chest Dis. 2023 May 24;94(1). doi: 10.4081/monaldi.2023.2615.

Abstract

An otherwise healthy 32-year-old woman suffered from finger ischemia. An echocardiogram and computed tomography scan revealed a mobile mass in the left ventricle that was attached to the anterior papillary muscle and did not involve the valve leaflets. The tumor was resected, and histopathology confirmed it to be a papillary fibroelastoma. Our case emphasizes the significance of a comprehensive diagnostic work-up for a peripheral ischemic lesion. This resulted in the discovery of an unusual intra-ventricular origin for a commonly benign tumor.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cardiac Papillary Fibroelastoma* / pathology
  • Female
  • Fibroma* / diagnosis
  • Fibroma* / diagnostic imaging
  • Heart Neoplasms* / diagnosis
  • Heart Neoplasms* / diagnostic imaging
  • Heart Ventricles / diagnostic imaging
  • Heart Ventricles / pathology
  • Humans
  • Papillary Muscles / diagnostic imaging
  • Papillary Muscles / pathology