Excision of a cardiac papillary fibroelastoma with the use of a fiberscope.
Cardiac papillary fibroelastoma (CPF) is a histologically benign tumor that can cause a significant embolic event. CPF is usually located on the endocardium, and is found on valves in 90% of cases. We experienced an unusual case of CPF situated on a left ventricular anterolateral papillary muscle. An 84-year-old female who had developed cerebellum infarction five months previously underwent surgical resection of CPF. During surgical resection of the tumor, a fiberscope was useful for detecting the lesion, and allowed us to ensure complete resection with a good surgical view. Our experience encourages us to use the fiberscope when resecting other intracardiac masses, including thrombi.
Matsuo
Yuji
Y
Division of Cardiovascular Surgery, Takeda General Hospital, Aizuwakamatsu City, Japan.
Hanayama
Naoji
N
Hirasawa
Yujiro
Y
Kawashima
Dai
D
D000368:Aged; D000369:Aged, 80 and over; D013504:Cardiovascular Surgical Procedures; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D019723:Endoscopes; D005260:Female; D005350:Fibroma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006338:Heart Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans