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Kenji Minatoya
Hitoshi Okabayashi
Eddie L. Hoover
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Ann Thorac Surg 1996;62:1519-1521
© 1996 The Society of Thoracic Surgeons

Case Report

Cardiac Papillary Fibroelastomas: Rationale for Excision

Kenji Minatoya, MD, Hitoshi Okabayashi, MD, PhD, Tadaaki Yokota, MD, PhD, Eddie L. Hoover, MD

Divisions of Cardiovascular Surgery and Pathology, Kokura Memorial Hospital, Kitakyusyu, Japan

Accepted for publication May 24, 1996.

We experienced a case of papillary fibroelastoma of the left ventricular outflow tract in a patient with severe valvular heart disease that was detected only by transesophageal echocardiography. Preoperative detection of this lesion altered the surgical procedure to include resection of the mass through the aortic valve annulus along with repair/replacement of the valves. The literature documents sufficient morbidity/mortality to support excision of these lesions regardless of symptoms or location.




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