Multiple Cardiac Papillary Fibroelastomas

Graphical abstract
Highlights • We present a case of a patient who presented with symptoms of heart failure and was found to have multiple cardiac masses. The mass attached to the right atrial lead and the mass in the left ventricle were the largest. • The patient underwent cardiac surgery and 9 to ten masses were resected with biopsy consistent with papillary fibroelastomas. • There was tissue in the right atrium that resembled ectopic spleen.