title: [Diagnostics and surgical tactics for papillary fibroelastomas of the heart].
abstract: OBJECTIVE
  To investigate clinical, diagnostic and surgical aspects of papillary fibroelastomas of the heart.
  
  
  METHODS
  Clinical, diagnostic and surgical aspects of papillary fibroelastomas of the heart were analyzed in 12 patients.
  
  
  RESULTS
  Diagnosis was obtained using two-dimensional echocardiography and transesophageal echocardiography or computed tomography. Surgical treatment involved isolated excision of the tumor or combined with valve repair or replacement in case of valvular involvement. Hospital mortality was absent.
  
  
  CONCLUSIONS
  Successful surgical treatment implies urgency, optimal exposition under hypothermic perfusion and pharmaco-cold cardioplegia, simple excision of the tumors and correction of comorbidities if it is necessary.
authors.affiliation: B.V. Petrovsky Russian Research Center of Surgery, Moscow.
authors.forename: Yu V
authors.initials: YV
authors.lastname: Belov
authors.affiliation: B.V. Petrovsky Russian Research Center of Surgery, Moscow.
authors.forename: M A
authors.initials: MA
authors.lastname: Nechaenko
authors.affiliation: B.V. Petrovsky Russian Research Center of Surgery, Moscow.
authors.forename: V A
authors.initials: VA
authors.lastname: Ivanov
authors.affiliation: B.V. Petrovsky Russian Research Center of Surgery, Moscow.
authors.forename: D N
authors.initials: DN
authors.lastname: Fedorov
authors.affiliation: B.V. Petrovsky Russian Research Center of Surgery, Moscow.
authors.forename: A Yu
authors.initials: AY
authors.lastname: Kiprensky
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods; D004210:Dissection / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods; D005260:Female; D006324:Heart Arrest, Induced / Q000379:methods; D006338:Heart Neoplasms / Q000473:pathology / Q000601:surgery; D006351:Heart Valves / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D018225:Neoplasms, Fibroepithelial / Q000473:pathology / Q000601:surgery; D010043:Outcome and Process Assessment, Health Care; D010210:Papillary Muscles / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D012426:Russia; D061665:Time-to-Treatment; D014057:Tomography, X-Ray Computed / Q000379:methods