A case of a Tricuspid Valve Fibroelastoma and non-specific cardiac symptoms

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Jody Chantler


A 66-year-old woman was referred for investigation of syncope, dyspnea, and mild chest discomfort.  A transthoracic echocardiogram revealed a mass attached to the atrial aspect of the septal leaflet of the tricuspid valve.  Blood cultures were immediately taken to rule out a differential diagnosis of infective endocarditis.  The patient underwent successful surgery to excise the mass and preserve the tricuspid apparatus.  Surgical pathology confirmed the diagnosis of a papillary fibroelastoma.  Surgical intervention should be considered in these cases due to the risk of embolization, and the possibility of malignant tumors.  This case is a good example of why a complete echo should be done on each patient.  Each valve should be thoroughly interrogated.  It is also a good reminder to sonographers; knowledge of the characteristics of intracardiac masses is important. 


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