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Papillary fibroelastoma (PF) is the second most common primary cardiac tumor, predominantly affecting the cardiac valves and accounting for three-quarters of all cardiac valvular tumors.1 Most patients with PF are asymptomatic and the evolution of echocardiography has allowed for an earlier detection and better characterization of PF. Although rare and benign, PF may result in multiple complications, such as stroke and arterial embolisms.1

Rheumatic Mitral Valvopathy and Papillary Fibroelastoma An Unusual Association