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Eur J Cardiothorac Surg 2003;23:429-431
© 2003 Elsevier Science NL

Case report

Tricuspid valve papillary fibroelastoma: an unusual cause of intermittent dyspnea

Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petah Tikva 49100, Israel¹

Received 13 July 2002; received in revised form 9 November 2002; accepted 14 November 2002.

^* Corresponding author. Tel.: +972-3-937-6701; fax: +972-3-924-0762
e-mail: bvidne{at}clalit.org.il

A 67-year-old woman was referred for investigation of intermittent dyspnea, which was known for years but had been worsening over the previous 3 months. Two-dimensional echocardiography revealed the presence of a mass attached to the anterior leaflet of the tricuspid valve. The patient was successfully operated on to excise the right atrial mass and preserve the tricuspid apparatus. Morphological examination of the excised tissue led to the diagnosis of papillary fibroelastoma. Surgical treatment should be considered when such a tumor is diagnosed, even in asymptomatic patients, because of the possible risk of embolization.

Key Words: Papillary fibroelastoma • Echocardiography • Cardiac surgery