A rare pediatric cardiac papillary fibroelastoma: a case report - Summary - MDSpire

A rare pediatric cardiac papillary fibroelastoma: a case report

  • By

  • Jiayi Lin

  • Erjia Huang

  • Wei Li

  • Yuanyu Zhou

  • Xiaoqing Wu

  • Weijian Chen

  • Wei Su

  • Xicheng Deng

  • May 20, 2026

  • 0 min

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Objective:

To report a rare case of a large cardiac papillary fibroelastoma in a pediatric patient, emphasizing its rarity and discussing the implications for diagnosis and treatment.

Key Findings:
  • The patient had a large, mobile cardiac mass that was asymptomatic, highlighting the need for careful monitoring.
  • Surgical excision was necessary to prevent embolic complications, underscoring the importance of timely intervention.
  • Histopathology confirmed the diagnosis of cardiac papillary fibroelastoma, reinforcing the need for accurate diagnosis.
Interpretation:

This case highlights the occurrence of large, mobile right-sided PFEs in asymptomatic children, emphasizing the critical need for early surgical intervention to prevent complications.

Limitations:
  • Limited number of pediatric cases reported in literature, which may affect treatment protocols.
  • Potential for misdiagnosis due to similarity with thrombi or vegetations, necessitating careful evaluation.
Conclusion:

Early detection and surgical intervention for cardiac papillary fibroelastoma in children can lead to favorable outcomes and preserved cardiac function, emphasizing the need for clinician awareness.

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