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Eur J Cardiothorac Surg 2002;21:1120
© 2002 Elsevier Science NL

Images in cardio-thoracic surgery

Cardiac papillary fibroelastoma

Alexander N. Evans, Malek G. Massad*, Sanjay Gandhi, Karen Ferrer

Division of Cardiothoracic Surgery, Department of Surgery, The University of Illinois at Chicago, Chicago, IL, USA

Received 17 January 2002; accepted 21 February 2002.

* Corresponding author. Division of Cardiothoracic Surgery, The University of Illinois at Chicago, 840 S. Wood Street, CSB Suite 417 (MC 958), Chicago, IL 60612, USA. Tel.: +1-312-996-6215; fax: +1-312-996-2013
e-mail: mmassad{at}uic.edu

Key Words: Cardiac papillary fibroelastoma • Aortic valve

A 32-year-old man with right hemispheric stroke is presented. Transesophageal echocardiogram showed a rounded mass attached to the left coronary cusp of the aortic valve (Fig. 1A) . The mass was excised under cardiopulmonary bypass. Gross examination (Fig. 1B) and light microscopy confirmed the diagnosis of cardiac papillary fibroelastoma (CPF).



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  		Fig. 1. (A) Transesophageal echocardiogram demonstrates a 0.5x0.5 cm rounded mass attached to the left coronary cusp of the aortic valve. (B) Gross specimen demonstrates a ‘Sea Urchin’ pattern characteristic of CPF: a soft white polyp with a fluffy villous surface connected with a stalk to the ventricular surface of the left coronary cusp of the aortic valve.

 




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