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Ann Thorac Surg 2002;74:1252-1254
© 2002 The Society of Thoracic Surgeons


Case report

Giant papillary fibroelastoma of the right atrium: an unusual presentation

Juan A. Crestanello, MDa, Thomas A. Orszulak, MD*a

a Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA

Accepted for publication May 19, 2002.

* Address reprint requests to Dr Orszulak, Division of Cardiovascular Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905 USA
e-mail: orszulak.thomas{at}mayo.edu

Papillary fibroelastomas are small tumors of the valvular endocardium with a propensity to embolize. Fibroelastomas originating in the nonvalvular endocardium are rare. We report a giant papillary fibroelastoma of the right atrial septum presenting with hemodynamic compromise that resolved after surgical excision. The current literature and the diagnostic and therapeutic strategies are reviewed.




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