An Operative Case of Papillary Fibroelastoma of the Aortic Valve

(Department of Thoracic and Cardiovascular Surgery, and Department of Pathology and Cell Biology*, Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan)

Yuya Kise Chisato Kamiya Ryoko Arakaki
Tatsuya Maeda Yuji Morishima Katsuya Arakaki
Satoshi Yamashiro Yukio Kuniyoshi Kazunari Arakaki*
Seiya Kato*
An echocardiogram revealed a mobile mass attached to the left coronary cusp of the aortic valve in an 81-year-old woman. The tumor was surgically removed without valve replacement. The tumor was whitish in color, with a sea anemone-like appearance, and it measured 10 mm in maximum dimension. It was histopathologically defined as papillary fibroelastoma(PFE), and the postoperative course was uneventful. Primary cardiac tumors are rare, and the majority are myxomas. However recent advances in noninvasive examination and surgery may increase the detection of PFE, which occurs most frequently on the endocardial surface of the cardiac valve. We report a case of cardiac PFE with a review of the pertinent literature.
  Jpn. J. Cardiovasc. Surg. 40:108-111(2011)

Keywords:papillary fibroelastoma, cardiac tumor, aortic valve