Open AccessMitral valve repair for anterior leaflet papillary fibroelastoma: two case descriptions and a literature review
Author(s) -
D. G. Di Mattia,
Alessio Assaghi,
Andrea Mangini,
S Ravagnan,
Sara Bonetto,
P Fundarò
Publication year - 1999
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1016/s1010-7940(98)00271-1
Subject(s) - papillary fibroelastoma , asymptomatic , medicine , cardiology , mitral valve , myocardial infarction , mitral valve replacement , cardiac tumors , cardiac valve , stroke (engine) , fibroma , heart failure , surgery , pathology , engineering , mechanical engineering
Cardiac papillary fibroelastomas are rare cardiac tumors and have been considered a 'benign' incidental finding that may have significant clinical manifestations. In this paper we report two cases of mitral valve fibroelastoma: one was discovered by chance with transthoracic echocardiography in a young healthy man, the other was an intraoperative incidental finding in a middle aged man with a recent history of acute myocardial infarction. The mitral valve was repaired in both cases after excising the tumor. The patients did well and remain asymptomatic. A literature review was compiled which comprises previous case reports of 34 patients with mitral valve papillary fibroelastomas. Most were asymptomatic, but when symptoms occurred, they could be disabling, such as stroke, cardiac heart failure, myocardial infarction, and sudden death. Papillary fibroelastoma is amenable to simple surgical excision or in addition to mitral valve repair or replacement. Recurrence has not been reported.