A Rare Case of Large Nonvalvular Papillary Fibroelastoma Manifesting as Vertigo and Exertional Dyspnea

Abstract

Background: : Papillary fi broelastoma (PFE) is an uncommon benign cardiac tumor, typically arising from valvular structures. Nonvalvular PFEs are exceedingly rare and may present with diverse symptoms. Case presentation: : We present a case of a 46-year-old woman with positional vertigo and exertional dyspnea. Trans- thoracic echocardiography revealed a mobile oval-shaped mass in the left ventricle. Cardiac magnetic resonance imaging suggested a large papillary fi broelastoma. The tumor was successfully resected, and histopathological examination confirmed fi rmed the diagnosis. Conclusion: : This case highlights the importance of thorough imaging and surgical intervention in managing large, nonvalvular PFEs, which, although rare, can lead to significant fi cant complications.