Simple Excision for Cardiac Fibroelastomas Arising from Three Leaflets of the Aortic Valve

Yuichiro Hirata	Keiichiro Tayama	Koichiro Shimoishi
Yusuke Shintani	Hidetsugu Hori	Teiji Okazaki
Kenichi Kosuga

（Department of Cardiovascular Surgery, Munakata Suikokai General Hospital＊, Fukutsu, Japan）

Cardiac papillary fibroelastomas are rare but are still the second most common benign cardiac tumor;after myxoma. While cardiac papillary fibroelastomas are benign, there is the potential for severe complications related to embolism. Consequently, a surgical treatment approach is generally recommended. Nevertheless, from the risk of the recurrence of tumor and the valve insufficiency, the excision range is still controversial, particularly with tumors arising from the valve. We report the case of a 66-year-old woman who underwent resection of cardiac papillary fibroelastomas arising from three leaflets of the aortic valves. We performed simple excision without valve surgery and obtained an uneventful prognosis. At 18 months after surgery, no recurrence of tumors was recognized. We consider that it is possible to resect cardiac papillary fibroelastomas without performing valve repair or replacement if they are removed carefully even if the tumors arise from three leaflets of an aortic valve.

 

Jpn. J. Cardiovasc. Surg. 45:41-44（2016）

Keywords：cardiac papillary fibroelastoma;aortic valve tumor;cardiac tumor