An Yuqiong, Nie Fang
Ultrasound Medical Center, Second Hospital of Lanzhou University, Lanzhou, China.
Medicine (Baltimore). 2025 Jan 17;104(3):e41296. doi: 10.1097/MD.0000000000041296.
Cardiac papillary fibroelastoma (CPF) is a rare cardiac tumor that can lead to severe and potentially fatal complications such as stroke, myocardial infarction, and sudden cardiac death. The rarity of CPF makes it challenging for clinicians to diagnose and treat, highlighting the importance of timely and accurate diagnosis to prevent catastrophic outcomes. This case report aims to contribute to the clinical understanding of CPF involving the mitral valve (MV), providing insights into diagnosis and treatment strategies.
We present a case of CPF attached to the MV in a 69-year-old male patient with a 3-year history of syncope.
Echocardiography and computed tomography (CT) imaging confirmed a floating, round-shaped mass on the anterior leaflet MV, with pathological analysis supporting the diagnosis of CPF.
The patient underwent the tumor resection and valve repair operation.
Postoperative recovery was favorable, with no evidence of recurrence or valve dysfunction at 1-year follow-up.
Echocardiography is a valuable diagnostic tool for identifying CPF and guide treatment decisions. This case emphasizes the importance of recognizing this rare valve tumor for timely clinical intervention.
心脏乳头肌纤维弹性瘤（CPF）是一种罕见的心脏肿瘤，可导致严重且可能致命的并发症，如中风、心肌梗死和心源性猝死。CPF的罕见性使得临床医生在诊断和治疗方面具有挑战性，凸显了及时准确诊断以预防灾难性后果的重要性。本病例报告旨在促进对累及二尖瓣（MV）的CPF的临床理解，为诊断和治疗策略提供见解。
我们报告一例69岁男性患者，其患有3年晕厥病史，CPF附着于MV。
超声心动图和计算机断层扫描（CT）成像证实MV前叶有一个漂浮的圆形肿块，病理分析支持CPF的诊断。
患者接受了肿瘤切除术和瓣膜修复手术。
术后恢复良好，1年随访时无复发或瓣膜功能障碍的迹象。
超声心动图是识别CPF和指导治疗决策的有价值的诊断工具。本病例强调了认识这种罕见的瓣膜肿瘤以便及时进行临床干预的重要性。
