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Ann Thorac Surg 2001;71:1677-1679
© 2001 The Society of Thoracic Surgeons

Case report

Cardiac papillary fibroelastoma on the pulmonary valve: a rare cardiac tumor

Kenji Okada, MDa, Taijiro Sueda, MDa, Kazumasa Orihashi, MDa, Masanobu Watari, MDa, Yuichiro Matsuura, MDa

a First Department of Surgery, Hiroshima University School of Medicine, Hiroshima, Japan

Accepted for publication June 12, 2000.

Address reprint requests to Dr Okada, First Department of Surgery, Hiroshima University School of Medicine, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan
e-mail: okaken{at}mcai.med.hiroshima-u.ac.jp

We report the case of a patient with a rare papillary fibroelastoma on the pulmonary valve visualized before surgical intervention. The tumor was an encapsulated, rounded mass. The gelatinous membrane on the surface tore easily, and multiple fronds appeared. This case emphasizes that when there is an encapsulated mass attached to a valve, the initial excision of valve tissue should be as minimal as possible. To avoid unnecessary injury to the valve, it is simple and practical to confirm that the tumor has the appearance of a sea anemone, thus identifying it as a papillary fibroblastoma, a benign tumor.






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Copyright © 2001 by The Society of Thoracic Surgeons.