Journal of Cardiovascular Echography

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

Incidental discovery of an atypical cardiac tumor


Genevieve E Staudt1, Amy G Fiedler2, George Tolis2, David M Dudzinski3, Scott C Streckenbach4 
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

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.


How to cite this article:
Staudt GE, Fiedler AG, Tolis G, Dudzinski DM, Streckenbach SC. Incidental discovery of an atypical cardiac tumor.J Cardiovasc Echography 2018;28:198-200


How to cite this URL:
Staudt GE, Fiedler AG, Tolis G, Dudzinski DM, Streckenbach SC. Incidental discovery of an atypical cardiac tumor. J Cardiovasc Echography [serial online] 2018 [cited 2022 Jan 19 ];28:198-200
Available from: https://www.jcecho.org/article.asp?issn=2211-4122;year=2018;volume=28;issue=3;spage=198;epage=200;aulast=Staudt;type=0