Abstract
With the advent of echocardiography, diagnosis of papillary fibroelastoma in living patients has been made possible, yet papillary fibroelastoma found in the living remains a very rare cardiac tumor. We report a case of papillary fibroelastoma of the mitral valve with rheumatic mitral valve stenosis. A 68-year-old woman was referred to our hospital with a mitral valve tumor and rheumatic mitral valve stenosis. She underwent anticoagulation therapy with Warfarin for 8 years since having a cerebral embolization. Echocardiography revealed a mass attached to the mitral valve, with severe mitral valve stenosis. Electrocardiography demonstrated a chronic atrial fibrillation. Tumor excision with mitral valve replacement and maze procedure were performed. Both the surgical and histological findings depicted papillary fibroelastoma. The postoperative course was uneventful and the patient has remained symptom-free one year after surgery.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Yater WM. Tumors of the heart and pericardium: Pathology, symptomatology and report of nine cases. Arch Interm Med 1931; 48: 627–66.
Cheitlin MD, McAllister HA, de Castro CM. Myocardial infarction without atherosclerosis. JAMA 1975; 231: 951–9.
Flotte T, Pinar H, Feiner H. Papillary elastofibroma of the left ventricular septum. Am J Surg Pathol 1980; 4: 585–8.
Gowda RM, Khan IA, Nair CK, Mehta N, Vasavada BC, Sacchi TJ. Cardiac papillary fibroelastoma: A comprehensive analysis of 725 cases. Am Heart J 2003; 146: 404–10.
Sastre-Garriga J, Molina C, Montaner J, Mauleon A, Pujadas F, Codina A, et al. Mitral papillary fibroelastoma as a cause of cardiogenic embolic stroke: report of two cases and review of the literature. Eur J Neurol 2000; 7: 449–53.
Hicks KA, Kovach JA, Frishberg DP, Wiley TM, Gurczak PB, Vernalis MN. Echocardiographic evaluation of papillary fibroelastoma: a case report and review of the literature. J Am Soc Echocardiogr 1996; 9: 353–60.
Di Mattia GD, Assaghi A, Mangini A, Ravagnan S, Bonetto S, Fundaro P. Mitral valve repair for anterior leaflet papillary fibroelastoma: two case descriptions and a literature review. Eur J Cardiothorac Surg 1999; 15: 103–7.
Colucci V, Alberti A, Bonacina E, Gordini V. Papillary fibroelastoma of the mitral valve. A rare cause of embolic events. Texas Heart Inst J 1995; 22: 327–31.
Bedi HS, Sharma VK, Mishra M, Kasliwal RR, Trehan N. Papillary fibroelastoma of the mitral valve associated with rheumatic mitral stenosis. Eur J Cardiothorac Surg 1995; 9: 54–5.
Takahashi A, Kitaura K, Murayama Y, Wada Y, Oga K, Oka T. A case of papillary fibroelastoma of the heart found 13 years after open mitral commissurotomy (Eng abstr). Nippon Kyobu Geka Gakkai Zasshi 1993; 41: 2121–5.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Taniguchi, I., Morimoto, K., Miyasaka, S. et al. Papillary fibroelastoma of the mitral valve associated with rheumatic mitral valve stenosis. Jpn J Thorac Caridovasc Surg 53, 143–146 (2005). https://doi.org/10.1007/s11748-005-0020-z
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s11748-005-0020-z