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Eur J Cardiothorac Surg 1999;15:103-107
© 1999 Elsevier Science NL

Case report

Mitral valve repair for anterior leaflet papillary fibroelastoma: two case descriptions and a literature review

^a Department of Thoracic and Cardiovascular Surgery, Luigi Sacco Hospital, Via G.B. Grassi, 74, 20157 Milan, Italy
^b Division of Cardiology, Luigi Sacco Hospital, Milan, Italy
^c Pathology Service, Luigi Sacco Hospital, Milan, Italy

Received 15 July 1998; received in revised form 26 October 1998; accepted 2 November 1998.

Corresponding author. Tel.: +39-02-3579-9333; Fax: +39-02-835-7513.

Cardiac papillary fibroelastomas are rare cardiac tumors and have been considered a `benign' incidental finding that may have significant clinical manifestations. In this paper we report two cases of mitral valve fibroelastoma: one was discovered by chance with transthoracic echocardiography in a young healthy man, the other was an intraoperative incidental finding in a middle aged man with a recent history of acute myocardial infarction. The mitral valve was repaired in both cases after excising the tumor. The patients did well and remain asymptomatic. A literature review was compiled which comprises previous case reports of 34 patients with mitral valve papillary fibroelastomas. Most were asymptomatic, but when symptoms occurred, they could be disabling, such as stroke, cardiac heart failure, myocardial infarction, and sudden death. Papillary fibroelastoma is amenable to simple surgical excision or in addition to mitral valve repair or replacement. Recurrence has not been reported.

Key Words: Papillary fibroelastoma • Mitral valve repair

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