Image in Cardiology
Papillary fibroelastoma with an atypical location
Fibroelastoma papilar com localização atípica
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(A) Computed tomography angiography reconstruction showing the supraaortic trunks, including an aberrant right subclavian artery; (B) aortography performed to aid planning of endovascular therapy, which was rejected.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carlos Domínguez-Massa, Alberto Berbel-Bonillo, Manuel Pérez-Guillen, José A. Montero-Argudo" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Carlos" "apellidos" => "Domínguez-Massa" ] 1 => array:2 [ "nombre" => "Alberto" "apellidos" => "Berbel-Bonillo" ] 2 => array:2 [ "nombre" => "Manuel" "apellidos" => "Pérez-Guillen" ] 3 => array:2 [ "nombre" => "José A." 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Almeida, Fausto J. Pinto" "autores" => array:5 [ 0 => array:4 [ "nombre" => "Joana" "apellidos" => "Rigueira" "email" => array:1 [ 0 => "joana.rigueira@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Rui" "apellidos" => "Plácido" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Artur Costa e" "apellidos" => "Silva" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Ana G." "apellidos" => "Almeida" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Fausto J." "apellidos" => "Pinto" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Serviço de Cardiologia, Hospital Universitário de Santa Maria (CHULN), CAML, CCUL, Faculdade de Medicina da Universidade de Lisboa, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Serviço de Anatomia Patológica, Hospital de Santa Maria (CHULN), Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Fibroelastoma papilar com localização atípica" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 754 "Ancho" => 1300 "Tamanyo" => 139348 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A-C) Short-axis, apical 4- and 2-chamber transthoracic echocardiographic images, respectively, showing a round mass inside the left ventricle, attached to the papillary muscle (arrow); (D) three-dimensional echocardiographic short-axis view using the 2-Click Crop function from the apex; (E and F) histopathology; (E) neoform of papillary architecture (Masson's trichrome, 25×); (F) papillary axes consisting of collagen, stained green, and lax stroma with endothelial/endocardial coating (Masson's trichrome, 100×).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 61-year-old woman was referred to our hospital for assessment of a cardiac mass depicted by transthoracic echocardiography (TTE). She had a medical history of stroke 10 years prior to admission and reported new-onset fatigue, with no other cardiovascular symptoms.</p><p id="par0010" class="elsevierStylePara elsevierViewall">TTE revealed a highly mobile round 1.4 cm×1.4 cm isoechogenic mass at the mid left ventricular (LV) level with no obvious insertion base (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A-C). LV ejection fraction was normal and the valves had no pathological changes. For better characterization of the anatomy and mass we performed three-dimensional echocardiography (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>D) which showed the mass attached to the base of the anterolateral papillary muscle. The myocardium underlying the mass appeared normal, with no signs of infiltration. Given the high predicted embolic risk, the patient underwent surgical excision of the mass. The pathological diagnosis was papillary fibroelastoma (<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>E and F). The patient's postoperative course was uneventful and two months after surgery she was asymptomatic with no residual mass on echocardiographic reassessment.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Papillary fibroelastoma is a rare benign tumor that accounts for fewer than 10% of primary cardiac tumors. These tumors can arise anywhere in the heart, but usually involve the surface of the aortic and mitral valves, and rarely the atria or ventricles. We described a rare case of a papillary fibroelastoma originating from the anterolateral papillary muscle. Surgical resection is generally curative.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:1 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-12-07" "fechaAceptado" => "2019-01-13" "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 754 "Ancho" => 1300 "Tamanyo" => 139348 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A-C) Short-axis, apical 4- and 2-chamber transthoracic echocardiographic images, respectively, showing a round mass inside the left ventricle, attached to the papillary muscle (arrow); (D) three-dimensional echocardiographic short-axis view using the 2-Click Crop function from the apex; (E and F) histopathology; (E) neoform of papillary architecture (Masson's trichrome, 25×); (F) papillary axes consisting of collagen, stained green, and lax stroma with endothelial/endocardial coating (Masson's trichrome, 100×).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000003800000010/v2_202002060715/S0870255119305748/v2_202002060715/en/main.assets" "Apartado" => array:4 [ "identificador" => "29264" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Imagens em Cardiologia" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003800000010/v2_202002060715/S0870255119305748/v2_202002060715/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255119305748?idApp=UINPBA00004E" ]
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