• The heart surgery forum · Aug 2011

    Case Reports

    Radical and harmless shave resection of atypical papillary fibroelastomas of the cardiac valves.

    • Maurizio Cotrufo, Gerolamo Sibilio, Claudio Marra, Giovanni Dialetto, Salvatore Giordano, Marisa De Feo, and Luca Salvatore De Santo.
    • Department of Cardiovascular Surgery, Pineta Grande Hospital, Castelvolturno, Caserta, Italy.
    • Heart Surg Forum. 2011 Aug 1;14(4):E242-4.

    BackgroundPapillary fibroelastomas (PFEs) are rare cardiac tumors usually treated by shave resection. Up to 20% of the patients are actually denied such a conservative surgical approach because atypical morphology is thought to preclude radical and effective outcomes.Methods/ResultsSurgical tricks and tips of shave resection are elucidated, and a case series presentation of the morphology of atypical PFEs treated by shave resection is described.ConclusionIn experienced hands surgical shave resection is the gold standard for the treatment of PFE even in atypical presentations.

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