|A Case of Papillary Fibroelastoma
of the Right Heart and Review of the Literature Concerning Surgical
(Department of Cardiovascular Surgery, Matsue Red
Cross Hospital, Matsue, Japan, Department of Cardiovascular Surgery,
Japan Red Cross Wakayama Medical Center*, Wakayama, Japan and
Department of Cardiovascular Surgery, Kyoto University**, Kyoto,
|A 54-year-old man consulted our
hospital because of nocturnal and mild exertional chest pain.
Echocardiography demonstrated a mobile mass in the right atrium.
There were no abnormal findings on the coronary angiogram. Because
of the large size of the mass, surgical removal was carried out
and a yellowish, globular tumor, sized 20~15~13mm, attached to
the anterior tricuspid leaflet with a short stalk was excised.
Postoperative recovery was uneventful. The patient was discharged
from the hospital with no symptoms. The diagnosis of papillary
fibroelastoma (PFE) was confirmed on histologic examination.
PFE is a well-known tumor that usually arises on the heart valves.
Although, historically, this tumor has incidentally been discovered
at necropsy, clinical case reports have recently increased. However,
the vast majority of clinically reported PFEs were the cases
of the left side of the heart, for which the operative indication
is quite definite because of serious complications such as cerebral
or myocardial infarction caused by this tumor, irrespective of
size. On the contrary, only a small number (17cases) of the right
heart PFEs have been reported in the literature and its operative
indications are unclear. Review with regard to the operative
indications for the right heart PFEs was made based on the total
of 18 cases including our patient.
@Jpn. J. Cardiovasc. Surg. 30: 213-216 (2001)