Abstract:
Objective: To review the current literature on the state of the art of
evaluation and management of cardiac papillary fibroelastoma (PFE).
Methods: A literature review was performed on the topic of evaluation
and management of PFE. PubWeb, Web of Science, Google Scholar, Scopus
search engines were used. Key search terms included: “Cardiac papillary
fibroelastoma,” “papillary fibroelastoma,” “Surgical resection of
papillary fibroelastoma,” “Minimally invasive resection of papillary
fibroelastoma,” “Thoracoscopy and PFE.” Relevant articles were
archived and synthesized in an EndNote database. Particular attention
was focused on identifying cases of minimally invasive resection of PFE
and the use of thoracoscopic adjuncts to assist with cavitary PFE
removal. Institutional Review Board approval was waived.
Results: A total of 119 articles were identified and archived. Forty
seven articles were used to compose this paper. 8 articles detailed
minimally invasive resection of PFE. The largest series of minimally
invasive PFE resection summed 4 patients. There are currently no
guidelines to direct care of patients with PFE. General consensus is
that the presence of left sided PFE should prompt evaluation for
surgery.
Conclusions: PFE is a rare tumor, more common in children than adults.
Lesions are typically left sided and are at risk for embolization.
Minimally invasive surgery is feasible and safe. Long-term outcomes with
complete resection are very good.
Statement of Data Availability: Not applicable.
Funding: None
Conflict of Interest: None