| A Case of Multiple
Papillary Fibroelastoma Derived from Both the Mitral Valve and
the Chordae |
(Department of Cardiovascular Surgery and Department
of Pathology＊, Toho University School of Medicine, Ohashi Hospital,
Tokyo, Japan)
| Minoru Otsuki |
Kunio Ebine |
Kenji Shiroma |
| Susumu Tamura |
Masashi Yokomuro |
Syunji Kumabe |
| Yasuhiro Hori |
Kazutoshi Shibuya＊ |
|
|
Papillary fibroelastoma is a rare,
benign heart tumor. We successfully treated a patient with multiple
fibroelastomas derived from both the mitral valve and the chordae
by surgical excision. A 59-year-old man was admitted to our hospital
with a history of myocardial infarction three years before admission.
Preoperative transthoracic and transesophageal echocardiograms
showed multiple, mobile, rounded cardiac tumors in the left ventricular
cavity and the mitral valve. Under cardiopulmonary bypass, we
performed prosthetic mitral valve replacement after excising
the valve with the tumor. The patient was discharged and remains
asymptomatic. Histologic examination of 6 specimens of the excised
tumor confirmed the diagnosis of papillary fibroelastoma. When
papillary fibroelastoma is diagnosed, surgical treatment must
be considered because of the high risk of embolization.
Jpn. J. Cardiovasc. Surg. 29: 87-90 (2000) |
|
