{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:42:49Z","timestamp":1786725769708,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Papillary fibroelastomas involving the pulmonic valve are rare and may present incidentally or with nonspecific cardiopulmonary symptoms. We report a 75-year-old woman with an incidentally discovered right ventricular outflow tract mass ultimately identified as a papillary fibroelastoma arising from the ventricular aspect of the left pulmonic valve cusp. Multimodality imaging, including transthoracic and transesophageal echocardiography (TEE) and cardiac magnetic resonance imaging, confirmed a mobile, pedunculated lesion without associated valve dysfunction. The mass was excised on cardiopulmonary bypass through a pulmonary arteriotomy without aortic cross-clamping. Post-resection TEE confirmed preserved pulmonic valve morphology and function. Histopathologic analysis confirmed the lesion to be a papillary fibroelastoma. The patient recovered uneventfully and was discharged home on postoperative day 4. This case underscores the pivotal role of TEE in defining pulmonic valve mass morphology and providing real-time intraoperative guidance.<\/jats:p>","DOI":"10.4103\/jcecho.jcecho_174_25","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T09:03:15Z","timestamp":1778144595000},"page":"319-321","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A rare case of Papillary Fibroelastoma Involving the Pulmonic Valve"],"prefix":"10.4103","volume":"36","author":[{"given":"Aibek E.","family":"Mirrakhimov","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Perioperative, Critical Care, and Pain Medicine, Division of Adult Cardiothoracic Anesthesiology, University of Kentucky, Lexington, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erinn A.","family":"Ogburn","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiothoracic Surgery, University of Kentucky, Lexington, Kentucky, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"key":"R1-20260720","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":"R2-20260720","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1016\/S0002-8703(03)00249-7","article-title":"Cardiac papillary fibroelastoma: A comprehensive analysis of 725 cases","volume":"146","author":"Gowda","year":"2003","journal-title":"Am Heart J"},{"key":"R3-20260720","doi-asserted-by":"crossref","first-page":"2154","DOI":"10.1016\/j.jacc.2021.02.027","article-title":"Papillary fibroelastoma growth: A retrospective follow-up study of patients with pathology-proven papillary fibroelastoma","volume":"77","author":"Kurmann","year":"2021","journal-title":"J Am Coll Cardiol"},{"key":"R4-20260720","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":"R5-20260720","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1111\/echo.12388","article-title":"Papillary fibroelastoma of the pulmonary valve \u2013A systematic review","volume":"31","author":"Hakim","year":"2014","journal-title":"Echocardiography"},{"key":"R6-20260720","doi-asserted-by":"crossref","first-page":"283","DOI":"10.3390\/diagnostics15030283","article-title":"Pulmonary valve fibroelastoma, still a very rare cardiac tumor: Case report and literature review","volume":"15","author":"Anitei","year":"2025","journal-title":"Diagnostics (Basel)"}],"container-title":["Journal of Cardiovascular Echography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jcecho.jcecho_174_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:25:21Z","timestamp":1786724721000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jcecho.jcecho_174_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jcecho.jcecho_174_25","relation":{},"ISSN":["2211-4122","2347-193X"],"issn-type":[{"value":"2211-4122","type":"print"},{"value":"2347-193X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2025-12-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}