{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T15:57:23Z","timestamp":1792598243638,"version":"4.5.0"},"reference-count":33,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Papillary fibroelastoma is a rare primary cardiac tumor with a benign histology. However, it can cause serious complications, primarily thromboembolism to the brain. Multimodal imaging is important for tumor detection, tissue characterization, assessing complications, planning surgery, and postoperative follow-up. In summary, multimodal imaging plays an essential role in managing papillary fibroelastoma and is crucial in determining interventional decisions.<\/jats:p>","DOI":"10.1093\/ehjimp\/qyag133","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T15:35:46Z","timestamp":1792596946000},"source":"Crossref","is-referenced-by-count":0,"title":["Multimodal imaging of papillary fibroelastoma"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6217-9863","authenticated-orcid":false,"given":"Lady Diana","family":"Quintana Reusche","sequence":"first","affiliation":[{"name":"Resident of Cardiology Service, Guillermo Almenara Irigoyen Hospital\u2014EsSalud , Lima ,","place":["Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9132-0445","authenticated-orcid":false,"given":"Kevin","family":"Velarde-Acosta","sequence":"additional","affiliation":[{"name":"Resident of Cardiology Service, Guillermo Almenara Irigoyen Hospital\u2014EsSalud , Lima ,","place":["Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7055-2308","authenticated-orcid":false,"given":"Luis","family":"Falc\u00f3n-Quispe","sequence":"additional","affiliation":[{"name":"Cardiac Imaging Area of Cardiology Service, Guillermo Almenara Irigoyen Hospital\u2014EsSalud , Lima ,","place":["Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7908-5200","authenticated-orcid":false,"given":"Angela","family":"Cachicatari-Beltran","sequence":"additional","affiliation":[{"name":"Cardiac Imaging Area of Cardiology Service, Guillermo Almenara Irigoyen Hospital\u2014EsSalud , Lima ,","place":["Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7497-3898","authenticated-orcid":false,"given":"Kelly","family":"Cupe-Chacalcaje","sequence":"additional","affiliation":[{"name":"Cardiac Imaging Area of Cardiology Service, Guillermo Almenara Irigoyen Hospital\u2014EsSalud , Lima ,","place":["Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1061-3893","authenticated-orcid":false,"given":"Dante","family":"Urdanivia-Ruiz","sequence":"additional","affiliation":[{"name":"Cardiac Imaging Area of Cardiology Service, Guillermo Almenara Irigoyen Hospital\u2014EsSalud , Lima ,","place":["Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3670-0776","authenticated-orcid":false,"given":"Eliana","family":"Rafael-Horna","sequence":"additional","affiliation":[{"name":"Cardiac Imaging Area of Cardiology Service, Guillermo Almenara Irigoyen Hospital\u2014EsSalud , Lima ,","place":["Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6843-488X","authenticated-orcid":false,"given":"Robert","family":"Lozano Purizaca","sequence":"additional","affiliation":[{"name":"Thoracic and Cardiovascular Surgery Department, Jos\u00e9 Cayetano Heredia Hospital\u2014EsSalud , Piura ,","place":["Per\u00fa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7538-2125","authenticated-orcid":false,"given":"Roberto","family":"Baltodano-Arellano","sequence":"additional","affiliation":[{"name":"Cardiac Imaging Area of Cardiology Service, Guillermo Almenara Irigoyen Hospital\u2014EsSalud , Lima ,","place":["Peru"]},{"name":"School of Medicine, Universidad Nacional Mayor de San Marcos , Lima ,","place":["Peru"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"2026102111354174800_qyag133-B1","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1016\/j.cjco.2024.07.008","article-title":"Cardiac papillary fibroelastoma and cerebrovascular events: a systematic review","volume":"6","author":"Neupane","year":"2024","journal-title":"CJC Open"},{"key":"2026102111354174800_qyag133-B2","doi-asserted-by":"crossref","first-page":"e464","DOI":"10.1016\/S1470-2045(24)00392-9","article-title":"Multimodality imaging of a large incidental papillary fibroelastoma","volume":"25","author":"Elkhatib","year":"2024","journal-title":"Lancet Oncol"},{"key":"2026102111354174800_qyag133-B3","doi-asserted-by":"crossref","first-page":"131","DOI":"10.14503\/THIJ-14-4262","article-title":"Papillary fibroelastoma of the aortic valve: analysis of 21 cases, including a presentation with cardiac arrest","volume":"42","author":"Ikegami","year":"2015","journal-title":"Tex Heart Inst J"},{"key":"2026102111354174800_qyag133-B4","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.hrcr.2018.11.013","article-title":"Papillary fibroelastoma on the aortic valve presenting as multiple cardiac arrests from electrical storm due to ischemia in patient without previous cardiac history","volume":"5","author":"Maludum","year":"2019","journal-title":"HeartRhythm Case Rep"},{"key":"2026102111354174800_qyag133-B5","doi-asserted-by":"crossref","DOI":"10.1016\/j.carpath.2024.107631","article-title":"Aortic valve fibroelastoma presenting with myocardial infarction with non-obstructive coronary arteries (MINOCA): a case report and review of the literature","volume":"71","author":"Pepe","year":"2024","journal-title":"Cardiovasc Pathol"},{"key":"2026102111354174800_qyag133-B6","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.1053\/hupa.2002.130105","article-title":"Iatrogenic cardiac papillary fibroelastoma: a study of 12 cases (1990 to 2000)","volume":"33","author":"Kurup","year":"2002","journal-title":"Hum Pathol"},{"key":"2026102111354174800_qyag133-B7","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1002\/cjp2.66","article-title":"KRAS mutation in papillary fibroelastoma: a true cardiac neoplasm?","volume":"3","author":"Wittersheim","year":"2017","journal-title":"J Pathol Clin Res"},{"key":"2026102111354174800_qyag133-B8","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1016\/S0894-7317(96)90152-2","article-title":"Echocardiographic evaluation of papillary fibroelastoma: a case report and review of the literature","volume":"9","author":"Hicks","year":"1996","journal-title":"J Am Soc Echocardiogr"},{"key":"2026102111354174800_qyag133-B9","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1016\/S0735-1097(97)00211-8","article-title":"Papillary fibroelastoma: echocardiographic characteristics for diagnosis and pathologic correlation","volume":"30","author":"Klarich","year":"1997","journal-title":"J Am Coll Cardiol"},{"key":"2026102111354174800_qyag133-B10","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/0002-8703(81)90424-5","article-title":"Systemic embolization from a mitral valve papillary endocardial fibroma detected by two-dimensional echocardiography","volume":"102","author":"Fowles","year":"1981","journal-title":"Am Heart J"},{"key":"2026102111354174800_qyag133-B11","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1111\/j.1540-8159.2007.00761.x","article-title":"Cardiac papillary fibroelastoma presenting with recurrent ventricular tachycardia","volume":"30","author":"Asrress","year":"2007","journal-title":"Pacing Clin Electrophysiol"},{"key":"2026102111354174800_qyag133-B12","first-page":"120","article-title":"Papillary fibroelastoma causing severe aortic stenosis","volume":"27","author":"Yoshikai","year":"2023","journal-title":"J Cardiol Cases"},{"key":"2026102111354174800_qyag133-B13","doi-asserted-by":"crossref","first-page":"2687","DOI":"10.1161\/01.CIR.103.22.2687","article-title":"Clinical and echocardiographic characteristics of papillary fibroelastomas: a retrospective and prospective study in 162 patients","volume":"103","author":"Sun","year":"2001","journal-title":"Circulation"},{"key":"2026102111354174800_qyag133-B14","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1007\/s10554-021-02427-5","article-title":"Multimodal echocardiography in the diagnosis of masses localized to the proximal portions of pulmonary arteries","volume":"38","author":"Sun","year":"2022","journal-title":"Int J Cardiovasc Imaging"},{"key":"2026102111354174800_qyag133-B15","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.jaccao.2020.05.009","article-title":"Cardiac tumors: JACC CardioOncology state-of-the-art review","volume":"2","author":"Tyebally","year":"2020","journal-title":"JACC CardioOncol"},{"key":"2026102111354174800_qyag133-B16","doi-asserted-by":"crossref","DOI":"10.1111\/echo.15757","article-title":"Collection of cardiac masses. Up-to-date echocardiography and cardiac MRI tools","volume":"41","author":"Baltodano-Arellano","year":"2024","journal-title":"Echocardiography"},{"key":"2026102111354174800_qyag133-B17","first-page":"478","article-title":"MRI assessment of cardiac tumours: part 1, multiparametric imaging protocols and spectrum of appearances of histologically benign lesions","volume":"4","author":"Hoey","year":"2014","journal-title":"Quant Imaging Med Surg"},{"key":"2026102111354174800_qyag133-B18","doi-asserted-by":"crossref","first-page":"831","DOI":"10.2214\/ajr.149.4.831","article-title":"The biophysical basis of tissue contrast in extracranial MR imaging","volume":"149","author":"Mitchell","year":"1987","journal-title":"AJR Am J Roentgenol"},{"key":"2026102111354174800_qyag133-B19","doi-asserted-by":"crossref","first-page":"34","DOI":"10.4103\/2156-7514.117458","article-title":"Magnetic resonance imaging of benign cardiac masses: a pictorial essay","volume":"3","author":"Ward","year":"2013","journal-title":"J Clin Imaging Sci"},{"key":"2026102111354174800_qyag133-B20","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1080\/24748706.2018.1475782","article-title":"The clinical dilemma of cardiac fibroelastic papilloma","volume":"2","author":"Abet","year":"2018","journal-title":"Struct Heart"},{"key":"2026102111354174800_qyag133-B21","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2023.1009411","article-title":"Tissue characterization of benign cardiac tumors by cardiac magnetic resonance imaging, a review of core imaging protocol and benign cardiac tumors","volume":"10","author":"Haider","year":"2023","journal-title":"Front Cardiovasc Med"},{"key":"2026102111354174800_qyag133-B22","first-page":"125","article-title":"Papillary fibroelastoma of the mitral valve chordae with systemic embolization","volume":"10","author":"Gomadam","year":"2014","journal-title":"J Cardiol Cases"},{"key":"2026102111354174800_qyag133-B23","doi-asserted-by":"crossref","first-page":"e190","DOI":"10.1161\/CIRCULATIONAHA.107.729731","article-title":"Images in cardiovascular medicine. Papillary fibroelastoma of the tricuspid valve seen on magnetic resonance imaging","volume":"117","author":"Kelle","year":"2008","journal-title":"Circulation"},{"key":"2026102111354174800_qyag133-B24","doi-asserted-by":"crossref","first-page":"1480","DOI":"10.1093\/eurheartj\/ehm611","article-title":"Evaluation of a fibroelastoma with magnetic resonance imaging","volume":"29","author":"Keithahn","year":"2008","journal-title":"Eur Heart J"},{"key":"2026102111354174800_qyag133-B25","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/s40119-015-0052-0","article-title":"The essentials of cardiac computerized tomography","volume":"4","author":"McKavanagh","year":"2015","journal-title":"Cardiol Ther"},{"key":"2026102111354174800_qyag133-B26","doi-asserted-by":"crossref","DOI":"10.1007\/s12410-014-9281-1","article-title":"Cardiac masses on cardiac CT: a review","volume":"7","author":"Kassop","year":"2014","journal-title":"Curr Cardiovasc Imaging Rep"},{"key":"2026102111354174800_qyag133-B27","doi-asserted-by":"crossref","first-page":"236","DOI":"10.4103\/jcecho.jcecho_48_18","article-title":"Tricuspid papillary fibroelastoma at multimodal imaging","volume":"28","author":"Casavecchia","year":"2018","journal-title":"J Cardiovasc Echogr"},{"key":"2026102111354174800_qyag133-B28","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/s13104-016-2323-9","article-title":"Multimodality cardiac imaging of a left ventricular papillary fibroelastoma: a case report","volume":"10","author":"Sharma","year":"2017","journal-title":"BMC Res Notes"},{"key":"2026102111354174800_qyag133-B29","doi-asserted-by":"crossref","DOI":"10.1177\/03000605241306604","article-title":"Cardiac computed tomography for cardiac masses: a necessity or a luxury?","volume":"53","author":"Joudar","year":"2025","journal-title":"J Int Med Res"},{"key":"2026102111354174800_qyag133-B30","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCIMAGING.122.013978","article-title":"Cardiac papillary fibroelastoma: a forgotten cause of stroke and myocardial infarction in patients with nonobstructive coronary artery disease","volume":"15","author":"Brankovic","year":"2022","journal-title":"Circ Cardiovasc Imaging"},{"key":"2026102111354174800_qyag133-B31","doi-asserted-by":"crossref","first-page":"2420","DOI":"10.1016\/j.jacc.2015.03.569","article-title":"Prognostic and bioepidemiologic implications of papillary fibroelastomas","volume":"65","author":"Tamin","year":"2015","journal-title":"J Am Coll Cardiol"},{"key":"2026102111354174800_qyag133-B32","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1016\/j.jtcvs.2022.06.022","article-title":"Operative management of cardiac papillary fibroelastomas","volume":"167","author":"Mazur","year":"2024","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2026102111354174800_qyag133-B33","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.amjcard.2023.07.030","article-title":"Massive mysteries","volume":"204","author":"Aston","year":"2023","journal-title":"Am J Cardiol"}],"container-title":["European Heart Journal - Imaging Methods and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjimp\/article-pdf\/4\/4\/qyag133\/72255917\/qyag133.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjimp\/article-pdf\/4\/4\/qyag133\/72255917\/qyag133.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T15:35:50Z","timestamp":1792596950000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjimp\/article\/doi\/10.1093\/ehjimp\/qyag133\/8965052"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10,16]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjimp\/qyag133","relation":{},"ISSN":["2755-9637"],"issn-type":[{"value":"2755-9637","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,10]]},"published":{"date-parts":[[2026,10]]},"article-number":"qyag133"}}