title: Radical and harmless shave resection of atypical papillary fibroelastomas of the cardiac valves.
abstract: BACKGROUND
  Papillary fibroelastomas (PFEs) are rare cardiac tumors usually treated by shave resection. Up to 20% of the patients are actually denied such a conservative surgical approach because atypical morphology is thought to preclude radical and effective outcomes.
  
  
  RESULTS
  Surgical tricks and tips of shave resection are elucidated, and a case series presentation of the morphology of atypical PFEs treated by shave resection is described.
  
  
  CONCLUSIONS
  In experienced hands surgical shave resection is the gold standard for the treatment of PFE even in atypical presentations.
authors.affiliation: Department of Cardiovascular Surgery, Pineta Grande Hospital, Castelvolturno, Caserta, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Cotrufo
authors.forename: Gerolamo
authors.initials: G
authors.lastname: Sibilio
authors.forename: Claudio
authors.initials: C
authors.lastname: Marra
authors.forename: Giovanni
authors.initials: G
authors.lastname: Dialetto
authors.forename: Salvatore
authors.initials: S
authors.lastname: Giordano
authors.forename: Marisa
authors.initials: M
authors.lastname: De Feo
authors.forename: Luca Salvatore
authors.initials: LS
authors.lastname: De Santo
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D017548:Echocardiography, Transesophageal; D005260:Female; D005350:Fibroma / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010210:Papillary Muscles / Q000000981:diagnostic imaging / Q000601:surgery*