|A Case of Mitral Valve Papillary
Fibroelastoma Leading to Transient Ischemic Attack（TIA）
（First Department of Surgery, Kagawa Medical University,
|We report a case of surgical treatment
for mitral valve papillary fibroelastoma which is an uncommon
and rare benign tumor. The patient was a 62-year-old woman who
had TIA（paralysis of left leg）and was admitted with the diagnosis
of cardiac tumor. Before operation, the tumor was detected in
the left atrium two-dimensional echocardiography, attached to
the anterior leaflet of the mitral valve. At operation, the tumor
was 11×8mm in size, with a yellow jelly-like and fragile appearance,
attached to the same position as indicated by echocardiography.
As the tumor occupied over one third of the leaflet, it was excised
including all the anterior leaflet of the mitral valve and a
prosthetic valve was replaced leaving the posterior leaflet intact.
The tumor was diagnosed as papillary fibroelastoma by pathological
examination. The postoperative course was uneventful.
Jpn. J. Cardiovasc. Surg. 31：163-166(2002)