JACC. Case reports · 2026
Left Atrium Cardiac Papillary Fibroelastoma in Patient With Atrial Fibrillation.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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Gondi Suma, Dandan Matthew, Hansen Julie A, Meskin Joshua A
Аннотация
IMAGE(S): Cardiac papillary fibroelastoma (CPFE) is pictured on transthoracic echocardiogram. CPFEs are rare cardiac masses associated with myocardial infarction, syncope, arterial embolism, and sudden death.
CASE SUMMARY: An 87-year-old woman with paroxysmal atrial fibrillation presented for Watchman evaluation and Cox-Maze procedure. A preprocedural transthoracic echocardiogram demonstrated a 1.2-cm CPFE in her left atrium. Cardiothoracic surgery performed a combined excision of the left CPFE and surgical management of atrial fibrillation. Postoperatively, she developed cardiogenic shock and atrial fibrillation recurrence.
TAKE-HOME MESSAGES: The left atrium is an uncommon spot for CPFE and clinicians should use caution when considering these patients for combined Cox-Maze procedure with CPFE excision given theoretical risk of atrial fibrillation with manipulation of the left atrium. Patients may benefit from staged procedures, hypothetically reducing the risk of postoperative atrial fibrillation.
CASE SUMMARY: An 87-year-old woman with paroxysmal atrial fibrillation presented for Watchman evaluation and Cox-Maze procedure. A preprocedural transthoracic echocardiogram demonstrated a 1.2-cm CPFE in her left atrium. Cardiothoracic surgery performed a combined excision of the left CPFE and surgical management of atrial fibrillation. Postoperatively, she developed cardiogenic shock and atrial fibrillation recurrence.
TAKE-HOME MESSAGES: The left atrium is an uncommon spot for CPFE and clinicians should use caution when considering these patients for combined Cox-Maze procedure with CPFE excision given theoretical risk of atrial fibrillation with manipulation of the left atrium. Patients may benefit from staged procedures, hypothetically reducing the risk of postoperative atrial fibrillation.