Surgical resection of cardiac papillary fibroelastoma in the left ventricular outflow tract.
An 81-year-old man was referred to our hospital on May 29, 2006, for a left ventricular tumor that a cardiologist had evaluated by echocardiography. The patient underwent surgical resection of a left ventricular tumor including the stalk through the aortic annulus on June 6. The aortic cross-clamp time, cardiopulmonary time, and operation time were 27 minutes, 48 minutes, and 2 hours 40 minutes, respectively. The specimen was examined pathologically and found to be a cardiac papillary fibroelastoma (CPF), 20x15 mm in size. He was discharged home 10 days after the surgery without significant adverse events. There are approximately 6 case reports on CPF in the left ventricular cavity published in Japan. Our surgical experience was reported, and a clinical feature of papillary fibroelastoma on the prior clinical data was reviewed retrospectively.
Sakaguchi
Hidehito
H
Department of Cardiovascular Surgery, Chiba Tokushukai Hospital, Funabashi, Japan.
Sekii
Hiroyoshi
H
D000369:Aged, 80 and over; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D003250:Constriction; D005350:Fibroma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D013997:Time Factors; D016896:Treatment Outcome; D014463:Ultrasonography