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Surgical Treatment of Cardiac Papillary Fibroelastoma: A Single Center Experience With Eighty-Eight Patients  Dumbor L. Ngaage, MB, BS, Charles J. Mullany,

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Presentation on theme: "Surgical Treatment of Cardiac Papillary Fibroelastoma: A Single Center Experience With Eighty-Eight Patients  Dumbor L. Ngaage, MB, BS, Charles J. Mullany,"— Presentation transcript:

1 Surgical Treatment of Cardiac Papillary Fibroelastoma: A Single Center Experience With Eighty-Eight Patients  Dumbor L. Ngaage, MB, BS, Charles J. Mullany, MB, MS, Richard C. Daly, MD, Joseph A. Dearani, MD, William D. Edwards, MD, Henry D. Tazelaar, MD, Christopher G.A. McGregor, MD, Thomas A. Orszulak, MD, Francisco J. Puga, MD, Hartzell V. Schaff, MD, Thoralf M. Sundt, MD, Kenton J. Zehr, MD  The Annals of Thoracic Surgery  Volume 80, Issue 5, Pages (November 2005) DOI: /j.athoracsur Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Cardiac papillary fibroelastoma (arrow) on the aortic valve, in the long-axis view of a transthoracic echocardiogram (63-year-old male). (LA = left atrium; Ao = aortic root.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Intraoperative transesophageal echocardiogram (short-axis view), demonstrating aortic valve papillary fibroelastomas (53-year-old male). (R = right aortic cusp; L = left aortic cusp; N = noncoronary [posterior] cusp.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Papillary fibroelastoma (arrow) on the ventricular septum near the left ventricular outflow tract, in a long-axis view of a transthoracic echocardiogram. (LA = left atrium; LV = left ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Cardiac papillary fibroelastoma (arrow) on the mitral valve, in a two-chamber view of a transthoracic echocardiogram. (LA = left atrium; LV = left ventricle.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Papillary fibroelastoma of the pulmonary valve photographed under water, showing multiple slender fronds and giving the appearance of a sea anemone. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Multiple papillary fibroelastomas involving a rheumatic mitral valve. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

8 Fig 7 Microscopic appearance of a cardiac fibroelastoma of the mitral valve, showing multiple fronds (hematoxylin and eosin, low power). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

9 Fig 8 Pie chart displaying the distribution of operative procedures for the treatment of cardiac papillary fibroelastoma in all 88 patients. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

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