Original articleCardiovascularSurgical Treatment of Cardiac Papillary Fibroelastoma: A Single Center Experience With Eighty-Eight Patients
Section snippets
Patients and Methods
All patients who underwent surgical treatment for cardiac papillary fibroelastoma at our institution between 1985 and 2002 were identified from the cardiovascular surgery and pathology databases. Institutional Review Board approval was obtained for this study on August 31, 2004. Clinical histories, echocardiographic reports, operative notes, and histopathologic findings were reviewed. Demographic characteristics such as age and gender, and clinical data including presenting symptoms, concurrent
Patient Characteristics
There were 88 patients with a mean age of 62 ± 16 (range, 23 to 86) years. Sixty-two (71%) were male. Cardiac papillary fibroelastoma was a primary indication for surgery in 47 patients (group 1, 53%) and was an incidental echocardiographic or surgical and/or histologic finding in 41 patients undergoing cardiac surgery primarily for other conditions (group 2, 47%). The most common clinical symptom in group 1 patients was neurologic (53%); cerebral embolism in 38%, retinal embolism in 9%, and
Comment
This retrospective cohort study describes the surgical treatment of cardiac papillary fibroelastoma from a single cardiac surgical center. Even though improved clinical diagnosis has transformed cardiac papillary fibroelastoma from a postmortem to an antemortem diagnosis, there is still a significant incidence of underdiagnosis. In this study cardiac papillary fibroelastoma was discovered incidentally in 47% of patients. Edwards and colleagues [9] investigated primary cardiac tumors and
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