A Successful Surgical Treatment of Distal Arch Aneurysm with Papillary Fibroelastoma in the Left Ventricle

Masahiro Inoue Osamu Oba Takeshi Shichijo
Keiji Yunoki

(Department of Cardiovascular Surgery, Hiroshima City Hospital, Hiroshima, Japan)

Papillary fibroelastoma is a relatively rare cardiac tumor. A report is presented on a 64-year-old man who was admitted to our institute with dyspnea. Distal arch aneurysm was detected by chest computed tomography and aortography. Preoperative transesophageal echocardiography revealed a tumor 9~5mm in size in the ventricular septum of the left ventricular outflow tract. Total arch replacement and tumor resection were performed. The pathohistological diagnosis of the tumor was papillary fibroelastoma. The postoperative course was uneventful and echocardiography conducted one year postoperatively revealed no recurrence.@
@@Jpn. J. Cardiovasc. Surg. 31: 128-131 (2002)