FIBROELASTOMA PAPILÍFERO DE CORDOALHA MITRAL EM PACIENTE OCTAGENÁRIO: ESTUDO DE CASO

Abstract

Introduction: cardiac tumors are rare neoplasms, often asymptomatic and incidentally diagnosed. They are classified as primary and secondary tumors. The main complications are systemic embolization and stroke. Due to the fact that they have a nonspecific clinical, is important an accurate diagnosis, based on complementary tests is in order to avoid their possible complications and to draw up a therapeutic plan with good prognosis. Case report: male patient sought out outpatient cardiac care due to uncontrolled systemic arterial hypertension even with correct use medications. Undergoing a transthoracic echocardiogram to control, the examination revealed a mass compatible with papillary fibroelastoma (PFE). Patient continues in outpatient follow-up about one year after diagnosis, asymptomatic and free complications. Discussion: PFE is a tumor that mainly affects the heart valves, around the age of 50 years. The definitive treatment is surgical. The case reports an asymptomatic octagenous patient, diagnosed with PFE in the mitral chordaea and with outpatient. Conclusion: PFE is a rare condition and difficult to diagnose. Although benign, the complications can be fatal. In this context, it is important to investigate previous events of coronary or cerebrovascular origin and to make use of complementary exams to direct the correct diagnosis, avoiding possible complications.