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Ann Thorac Surg 1999;68:1881-1885
© 1999 The Society of Thoracic Surgeons
a Section of Cardiology, Department of Medicine, Boston Medical Center, Boston, Massachusetts, USA
b Department of Cardiothoracic Surgery, Boston Medical Center, Boston, Massachusetts, USA
c Department of Pathology, Boston Medical Center, Boston, Massachusetts, USA
d Department of Cardiothoracic Surgery, University of Washington School of Medicine, Seattle, Washington, USA
Address reprint requests to Dr Davidoff, Section of Cardiology, Department of Medicine, Boston Medical Center, 88 E Newton St, Boston, MA 02118
e-mail: ravin.davidoff{at}bmc.org
Papillary fibroelastomas are uncommon benign tumors usually involving the heart valves, which historically have been diagnosed at autopsy. With the advent of echocardiography, however, the number of patients diagnosed in life has increased. Papillary fibroelastomas represent a surgically treatable cause of cerebrovascular and cardiovascular ischemia and infarction making their identification clinically important. We report three unusual cases of papillary fibroelastoma; two patients presenting with symptoms of cerebrovascular ischemia and one presenting with myocardial infarction. We also present a comprehensive review of the literature and provide a compilation of all case reports to date.
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