Surgical Resection of Cardiac Papillary Fibroelastoma in the Left Ventricular Outflow Tract

Received September 20, 2007; accepted for publication November 29, 2007 Address repr int requests to Hidehito Sakaguchi, MD: Department of Cardiovascular Surgery, Chiba Tokushukai Hospital, 1–27–1 Narashinodai, Funabashi, Chiba 274–8503, Japan. ©2008 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery. All rights reserved. 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), 20 × 15 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. (Ann Thorac Cardiovasc Surg 2008; 14: 393–395)