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Ann Thorac Surg 2005;79:756
© 2005 The Society of Thoracic Surgeons

Correspondence

Papillary Fibroelastomas and Other Cardiac Tumors Should Be Resected on an Urgent Basis

Torsten Bossert, MD, Jan F. Gummert, MD, PhD, Friedrich Mohr, MD, PhD

Department of Cardiac Surgery, University of Leipzig, Strumpellstr 39, Leipzig D-04289, Germany

tbossert11{at}aol.com

To the Editor:

Koolbergen and associates reported [1] a well presented case of a papillary fibroelastoma of the aortic valve. Nevertheless, the words elective surgery in the title of their short report are misleading, and we emphasize that urgent resection of these cardiac tumors should be performed. We [2, 3] recommend resection within 2 days after diagnosis. For other cardiac tumors and atrial myxomas, tumor embolization while the patient is waiting for operation has been documented [4].


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  1. Koolbergen DR, Voigt P, Kolowca M, Smit VTHBM, Somer ST, Dion RA. Elective surgery for fibroelastoma of the aortic valve. Ann Thorac Surg. 2004;77:725[Free Full Text]
  2. Bossert T, Krakor R, Garbade J, Mohr FW. Fibroelastoma of the aortic valve causing drop attack. Eur J Cardiothorac Surg. 2003;24:639[Free Full Text]
  3. Bossert T, Diegeler A, Spyrantis N, Mohr FW. Papillary fibroelastoma of the aortic valve with temporary occlusion of the left coronary ostium. J Heart Valve Disease. 2000;9:842–843[Medline]
  4. Nkere UU, Pugsley WB. Time relationships in the diagnosis and treatment of left-atrial myxoma. Thorac Cardiovasc Surg. 1993;41:301–303[Medline]



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Friedrich Mohr
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