case_images: PMC10119374_01
case_images: (a) Representative still image from preoperative transesophageal echocardiogram demonstrating a mobile, 8 mm hyperechoic mass in the left ventricle. (b) Low-power view of the resected tumor. (c) Low-power view of blunted avascular cores. (d) Factor VIII immunostain demonstrating endothelial cells lining avascular cores.
case_images: 10.1177_15569845231152891-fig1.jpg
case_images: PMC10119374_01_10.1177_15569845231152891-fig1.jpg
case_images: fig1-15569845231152891
case_images: Diagnostic workup at the outside facility included a transesophageal echocardiogram that demonstrated a left ventricular ejection fraction of 55% to 60%, an 8 mm mobile mass in the left ventricle (Fig. 1a), and a competent mitral valve with no evidence of regurgitation or stenosis. Pathologic examination of the resected mass was consistent with a papillary fibroelastoma (Fig. 1b-d).