Papillary fibroelastoma of the papillary muscle-a case report on a rare entity and sometimes a delayed diagnosis.

ABSTRACT:

Background

Papillary fibroelastoma, generally affecting the valve endocardium, is one of the most common benign cardiac tumours. Although rarely reported, atypical localization of such tumours complexifies diagnosis and might negatively impact patient outcomes due to late detection.

Case summary

We present the case of a 69-year-old female patient presenting for a check-up consultation and reporting symptoms of dysesthesia, aphasia, and dizziness. The patient had a history of atrial fibrillation on anticoagulation with rivaroxaban starting 6 years prior to presentation. Further examination using transthoracic and transoesophageal echocardiography revealed a hyperechogenic structure at the level of the subvalvular apparatus of the mitral valve. Interestingly, when cardiac MRI

SUBMITTER: Miazza J 

PROVIDER: S-EPMC12572778 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature