Pulmonary Valve Papillary Fibroelastoma in an Asymptomatic Young Patient

during cardiac cycle, apparently arising from the ventricular surface of the posterior leaflet of the pulmonary valve. The dimensions were measured 17 x 17 mm. The ventricular function was normal, whereas the aortic valve showed up to be bicuspid, normally functioning, with a dilated ascending aorta (45 mm). In consideration of the extreme mobility of the mass and of its dimensions, carrying the risk of actual pulmonary embolization, the patient was promptly anticoagulated and after a few days operated. Through median sternotomy, on cardiopulmonary bypass with short aortic cross clamping (10 minutes), the excision of the mass was performed through transversal incision of the pulmonary artery, with complete shaving and sparing of the valve. The postoperative course was uneventful and the patient was discharged on the 6 th postoperative day. The