J Cardiothorac Surg. 2025 Nov 28;20(1):447. doi: 10.1186/s13019-025-03630-4.
ABSTRACT
BACKGROUND: Tricuspid valve papillary fibroelastoma is a rare, benign primary cardiac tumor located on the tricuspid valve, with a potential risk of embolism. Here, we report a case of tricuspid valve papillary fibroelastoma successfully treated with surgical resection. The patient remained recurrence-free after a one-year follow-up.
CASE PRESENTATION: A 51-year-old female patient was admitted with a three-year history of chest tightness and shortness of breath. Transthoracic echocardiography revealed a 10 × 9 mm mass at the root of the right atrial surface of the anterior tricuspid valve leaflet, exhibiting movement in sync with valve opening and closing. The patient underwent surgical resection, and histopathological examination confirmed the diagnosis of papillary fibroelastoma.
CONCLUSIONS: Tricuspid valve papillary fibroelastoma is still a rare benign cardiac tumor. Echocardiography serves as a reliable diagnostic tool. By reviewing the literature, we suggest that for tricuspid valve PFE with right-sided embolism and with a diameter greater than 5 mm, early surgical resection should be considered to prevent serious complications such as embolization.
PMID:41316266 | DOI:10.1186/s13019-025-03630-4