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CASE REPORT
Year : 2018  |  Volume : 28  |  Issue : 3  |  Page : 198-200

Incidental discovery of an atypical cardiac tumor


1 Department of Anesthesia, Vanderbilt University Medical Center, Nashville, TN, USA
2 Department of Cardiac Surgery, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA
3 Department of Cardiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA
4 Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA

Correspondence Address:
Genevieve E Staudt
Department of Anesthesia, Vanderbilt University Medical Center, 2200 Children's Way, Suite 3115, Nashville, TN 37232
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcecho.jcecho_7_18

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Primary cardiac tumors are rare, present in roughly 0.05% of the population. Cardiac papillary fibroelastoma (CPF) is the second most common, accounting for 10% of primary cardiac tumors.[1] Most cases of CPFs are discovered incidentally on autopsy; however, they may present clinically with systemic embolization or heart failure symptoms. The recommended treatment for symptomatic CPF patients is surgical resection.[1] Treatment in asymptomatic patients remains somewhat controversial with incidentally discovered tumors presenting a clinical dilemma. We present a case of an atypically located CPF that was discovered incidentally on intraoperative transesophageal echocardiography (TEE) during a routine coronary artery bypass graft operation. This case highlights several important points for cardiac anesthesiologists. The first is the importance of performing a comprehensive intraoperative TEE. Next, this case reinforces the broad utility of TEE for evaluation of intracardiac tumors. Finally, this case demonstrates the importance of precise localization of intracardiac tumors.


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