Papillary fibroelastoma of the tricuspid anterior leaflet.
The case of a 50-year-old woman with an occasional diagnosis of cardiac tumor of the tricuspid valve is reported. At surgery, a single 2 cm x 2 cm polypoid gelatinous neoplasm infiltrating the anterior leaflet of the valve was resected and a tricuspid valve reconstruction along with annuloplasty was accomplished. The postoperative period was uneventful. A diagnosis of papillary fibroelastoma was made at pathology. This neoplasm, which represents a rare pathological entity, is more frequently localized on the mitral valve and usually stays asymptomatic for a long time. Only a few cases involving the tricuspid and pulmonary valves have been reported. Indication for surgery is related to a certain incidence of pulmonary embolism. Surgical removal of papillary fibroelastoma is a low-risk and definitive operation, as only one case of recurrence of the tumor has been reported so far in the literature.
Massarenti
Luca
L
Cardiac Surgery Department, Hesperia Hospital, Modena, Italy.
Benassi
Filippo
F
Gallerano
Aldo
A
Stefanelli
Guglielmo
G
D005260:Female; D006338:Heart Neoplasms / Q000473:pathology*; D006801:Humans; D008875:Middle Aged; D018218:Neoplasms, Fibrous Tissue / Q000473:pathology*; D014261:Tricuspid Valve / Q000473:pathology*