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Case Reports
. 2021 Aug 22;13(8):e17359.
doi: 10.7759/cureus.17359. eCollection 2021 Aug.

Discovery of Tricuspid Fibroelastoma on Echocardiography

Yesha Rana  1 , Ramyashree Tummala  2 , Krysthel Engstrom  3 , Nina Kukar  3 , Deepika Misra  2
Affiliations
Case Reports

Discovery of Tricuspid Fibroelastoma on Echocardiography

Yesha Rana et al. Cureus. .

Abstract

Papillary fibroelastoma (PFE) is a benign cardiac tumor usually incidentally found on cardiac imaging. They are typically located on the left-sided heart valves and are concerning primarily due to their risk for embolization into the periphery. Right-sided PFE, however, is very rare and their management is not well known. We present a 66-year-old male with a past medical history of HIV on antiretroviral therapy presenting with new exertional dyspnea. Upon workup, he was found to have a mass on the tricuspid valve seen on echocardiography which was ultimately resected and found to be a tricuspid fibroelastoma. The clinical management of right-sided PFE is poorly documented. Treatment of PFE in an asymptomatic is dependent on characteristics such as location, mobility, and risk of embolization. Echocardiography has made the incidental diagnosis of PFE a common issue in asymptomatic patients such as ours.

Keywords: benign cardiac tumor; cardiac mri; cardiac tumor; echocardiography; papillary fibroelastoma.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Apical four-chamber view on echocardiography visualizing a mass on the atrial side of the septal leaflet of the tricuspid valve.
LA, left atrium; LV, left ventricle; RV, right ventricular; RA, right atrium; PPE, papillary fibroelastoma
Figure 2
Figure 2. cMRI short-axis view showing T1 hyperintense (left) and T2 hyperintense (right) images depicting a cross-section showing a mass on the TV.
cMRI, cardiac MRI; TV, tricuspid valve
Figure 3
Figure 3. cMRI cine image depicting T2 hyperintensity showing a right-sided mass on the tricuspid valve.
See this image and copyright information in PMC

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