Finger ischemia in a young lady: an unusual presentation of papillary fibroelastoma with intraventricular location

Abstract

An otherwise healthy 32-year-old woman suffered from finger ischemia. An echocardiogram and CT scan revealed a mobile mass in the left ventricle that was attached to the anterior papillary muscle and did not involve the valve leaflets. The tumor was resected and histopathology confirmed it to be a papillary fibroelastoma. Our case emphasizes the significance of a comprehensive diagnostic workup for a peripheral ischemic lesion. This resulted in the discovery of an unusual intra-ventricular origin for a commonly benign tumor.

Keywords

• intracardiac mass
• transthoracic echocardiogram
• cardiac imaging
• Open Heart Surgery