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Eur J Cardiothorac Surg 1998;13:322-324
© 1998 Elsevier Science NL

Case report

Cardiac papillary fibroelastoma of the mitral valve chordae

^a Department of Cardiac Surgery, University of Bologna, Bologna, Italy
^b Department of Pathology, University of Bologna, Bologna, Italy

Received 22 September 1997; received in revised form 5 January 1998; accepted 13 January 1998.

Corresponding author. Present address: Divisione di Cardiochirurgia, Policlinico S. Orsola, Via Massarenti 9, 40138 Bologna, Italy. Tel.:+39 51 6363361; fax +39 51 345990; e-mail: davide_pacini@iol.it

Papillary fibroelastomas are rare, benign, primary cardiac tumors, usually single and small. The neoplasm consists of a leafy, soft excrescence typically located on the cardiac valves. Although papillary fibroelastomas are usually an asymptomatic incidental finding at autopsy, or during cardiac operation, they are occasionally associated with embolic coronary or cerebral symptoms. A case of a patient is reported with papillary fibroelastoma of the mitral valve chordae, who presented several transitory ischemic attacks characterized by loss of conscience, visual bilateral deficit and right emiparesis. Because of their potential systemic embolization, we believe that these lesions should be always excised.

Key Words: Cardiac papillary fibroelastoma • Mitral valve • Cardiac surgery

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