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Ann Thorac Surg 1989;47:605-607
© 1989 The Society of Thoracic Surgeons

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Articles

Mitral valve fibroelastoma

Department of Surgery, Iowa Methodist Medical Center, Des Moines, Iowa, USA

Accepted for publication September 29, 1988.

^_* Address reprint requests to Dr Gorton, Department of Surgery, Iowa Methodist Medical Center, 1200 Pleasant St, Des Moines, IA 50309.

Papillary fibroelastomas are rare benign tumors of the heart with predisposition for cardiac valvular involvement that were traditionally incidental findings at autopsy. Echocardiography now is allowing clinicians to diagnose these tumors in living patients. We reviewed the literature and, to our knowledge, are reporting the fifth documented case of a mitral valve papillary fibroelastoma in a living patient. Our patient was seen with bilateral transient ischemic attacks and was found to have a mitral valve tumor By two-dimensional echocardiography and cardiac catheterization. The tumor involved the entire mitral valve and subvalvular structures. The patients's valve was replaced with a bioprosthesis, and she remains free front symptoms.

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