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Case Reports

Papillary Fibroelastoma in the Left Ventricle Resected Under the Guidance of a Gastrointestinal Fiberscope

^a Department of Cardiovascular Surgery, Kasukabe Chuo General Hospital, Kasukabe City, Saitama, Japan
^b Department of Cardiology, Kasukabe Chuo General Hospital, Kasukabe City, Saitama, Japan
^c Department of Cardiology, Kobari General Hospital, Noda City, Chiba, Japan

Accepted for publication July 11, 2008.

^_* Address correspondence to Dr Akita, Department of Cardiovascular Surgery, Kasukabe Chuo General Hospital, 5-9-4 Midori cho, Kasukabe City, Saitama, 344-0063, Japan (Email: markun{at}estate.ocn.ne.jp).

We report the case of a left ventricular mass in a 72-year-old man with ischemic heart disease. The tumor was deep in the left ventricle, and we considered that it would be difficult to directly visualize. Therefore, we inserted a gastrointestinal fiberscope into the heart. The tumor that was detected appeared to be a papillary fibroelastoma that arose from the left ventricular anterior papillary muscle. We resected the tumor under the guidance of a gastrointestinal fiberscope and performed coronary artery bypass grafting. The gastrointestinal fiberscope was useful for observing and resecting the deep left ventricular tumor.

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