A rare pediatric cardiac papillary fibroelastoma: a case report.

Jiayi Lin, Erjia Huang, Wei Li, Yuanyu Zhou, Xiaoqing Wu, Weijian Chen, Wei Su, Xicheng Deng

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Article in Frontiers in cardiovascular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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8 authors.

Jiayi Lin *Heart Center, The Affiliated Children's Hospital of Xiangya School of Medicine, Central South University, Changsha, China.

Erjia Huang *Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, China.

Wei LiDepartment of Pediatrics, Affiliated Hospital of Xiangnan University, Chenzhou, China.

Yuanyu ZhouDepartment of Pediatrics, Affiliated Hospital of Xiangnan University, Chenzhou, China.

Xiaoqing WuDepartment of Pediatrics, Affiliated Hospital of Xiangnan University, Chenzhou, China.

Weijian ChenDepartment of Pathology, The Affiliated Children's Hospital of Xiangya School of Medicine, Central South University, Changsha, China.

Wei SuDepartment of Pediatrics, Affiliated Hospital of Xiangnan University, Chenzhou, China.

Xicheng DengHeart Center, The Affiliated Children's Hospital of Xiangya School of Medicine, Central South University, Changsha, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac papillary fibroelastoma (PFE) is rare in children, and large (>30 mm), mobile, right-sided PFEs are exceptionally uncommon. This report describes a 7-year-and-6-month-old patient who presented with upper respiratory tract infection and an incidental cardiac murmur. Transthoracic echocardiography revealed a 30 × 25 × 21 mm pedunculated, mobile mass on the anterior tricuspid valve leaflet. Differential diagnosis included thrombus, vegetation, and other cardiac tumors. Surgical excision with tricuspid valvuloplasty was performed due to embolization risk. Gross examination showed a cauliflower-like mass. The patient recovered uneventfully with preserved valve function. This case demonstrates that large, mobile right-sided PFEs can occur in asymptomatic children, and early surgical intervention with valve preservation is recommended to prevent embolic complications.

Indexed as

echocardiographypapillary fibroelastomapediatric cardiac tumorsurgical managementtricuspid valve mass

Identifiers

PMID42244788

DOI10.3389/fcvm.2026.1623898

PMCPMC13229760

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