A Case of Resection of Fibroelastoma by Endoscopy

Yoshio Nunoi＊	Takeshiro Fujii＊	Tomoyuki Katayanagi＊
Shinnosuke Okuma＊	Yuzo Katayama＊	Tsukasa Ozawa＊
Noritsugu Shiono＊	Yoshinori Watanabe＊

（Division of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University＊, Tokyo, Japan）

We report a case of a 64-year-old woman who presented with symptoms for the common cold, for a medical examination. The chest X-ray showed enlargement of the heart, and echocardiography detected a mobile mass suggestive of a tumor 21×14mm in the left ventricle. Because there was a risk of embolism, we decided to perform an operation. The tumor was elastic and soft and had a stalk arising from the wall of the left ventricle. We considered that it would be difficult to observe and expose the left ventricular tumor by direct vision. Therefore, we chose to perform a complete endoscopic resection. The tumor was determined histopathologically to be a papillary fibroelastoma. Here, we report the relatively rare benign tumor, a papillary fibroelastoma, and include a discussion of the literature.

 

Jpn. J. Cardiovasc. Surg. 47:105-108（2018）

Keywords：cardiac papillary fibroelastoma;endoscopic resection;cardiac tumor