title: Video-assisted resection of papillary fibroelastoma arising from a miniature tendinous chord in the apex of the left ventricle.
abstract: We report a rare case of a papillary fibroelastoma (PFE) in the apex of the left ventricle.An 81-year-old woman with nonspecific symptoms was shown to have a mobile mass deep in the left ventricle. With videoscopic assistance, removal of the mass was accomplished through the mitral valve via a midline sternotomy under cardiopulmonary bypass. The tumor arose from a miniature tendinous chord in the apex, and histological examination revealed PFE. Videoscopy facilitated safe and effective removal of the lesion in this case.
authors.affiliation: Department of Cardiovascular Surgery, National Hospital Organization Nagasaki Medical Center.
authors.forename: Tsuneo
authors.initials: T
authors.lastname: Ariyoshi
authors.forename: Mizuki
authors.initials: M
authors.lastname: Sumi
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Tagawa
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Hamawaki
mesh_terms: D000369:Aged, 80 and over; D001706:Biopsy; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass; D005260:Female; D005350:Fibroma / Q000473:pathology / Q000601:surgery*; D006338:Heart Neoplasms / Q000473:pathology / Q000601:surgery*; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D056346:Sternotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography; D020535:Video-Assisted Surgery