Clinical Manifestations:
PFE is typically discovered incidentally or following an embolic event. Embolization rates have been estimated around 35%,16but the true rate is unknown. PFE on the left side of the heart can cause shortness of breath, transient ischemic attacks/stroke, acute valvular dysfunction, myocardial infarction, abdominal pain and mesenteric ischemic, acute limb ischemia, pulmonary embolism, and sudden death.5, 8, 17 Right sided PFE typically have a more insidious presentation, often remaining asymptomatic until tumor mass induces arrhythmias, pulmonary embolization, or obstructive disease.16