Abstract
A case report of a 73-year-old woman with mitral regurgitation secondary to papillary fibroelastoma and prolapse of the mitral valve is described. The tumor was excised, and the valve repaired with a Duran annuloplasty ring. The clinicopathologic features and the surgical management of this rare tumor are reviewed.
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References
1.
McAllister
HA
Jr.
Primary rumors and cysts of the heart and pericardium . Curr Probl Cardiol
1979 ; 4 : 1 –51 .
2.
Silverman
NA
. Primary cardiac tumors . Ann Surg
1980 ; 191 : 127 –38 .
3.
Edwards
FH
,
Hale
D
,
Cohen
A
,
Thompson
L
,
Pezzella
AT
,
Virmani
R.
Primary cardiac valve tumors . Ann Thorac Surg
1991 ; 52 : 1127 –31 .
4.
Molina
JE
,
Edwards
JE
,
Ward
HB
. Primary cardiac tumors: experience at the University of Minnesota . Thorac Cardiovasc Surg
1990 ; 38 (Suppl 2 ): 183 –91 .
5.
Almagro
UA
,
Perry
LS
,
Choi
H
,
Pintar
K.
Papillary fibroelastoma of the heart . Arch Pathol Lab Med
1982 ; 106 : 318 –21 .
6.
Pomerance
A.
Papillary ‘tumours’ of the heart valves . J Pathol Bacteriol
1961 ; 81 : 135 –40 .
7.
Schiller
AL
,
Schantz
A.
Papillary endocardial excrescence of the right atrium: report of two cases . Am J Clin Pathol
1970 ; 53 : 617 –21 .
8.
Flotte
T
,
Pinar
H
,
Feiner
H.
Papillary elastofibroma of the left ventricular septum . Am J Surg Pathol
1980 ; 4 : 585 –8 .
9.
Abu Nassar
SG
,
Parker
JC
Jr
. Incidental papillary endocardial rumor: its potential significance . Arch Pathol Lab Med
1971 ; 92 : 370 –6 .
10.
Fishbein
MC
,
Ferrans
VJ
,
Roberts
WC
. Endocardial papillary elastofibromas: histologic, histochemical, and electron microscopical findings . Arch Pathol Lab Med
1975 ; 99 : 335 –41 .
11.
Kasarskis
EJ
,
O'Connor
W
,
Earle
G.
Embolic stroke from cardiac papillary fibroelastomas . Stroke
1988 ; 19 : 1171 –3 .
12.
Anderson
KR
,
Fiddler
GI
,
Lie
JT
. Congenital papillary tumor of the tricuspid valve: an unusual cause of right ventricular outflow obstruction in a neonate with trisomy E . Mayo Clin Proc
1977 ; 52 : 665 –9 .
13.
Shub
C
,
Tajik
AJ
,
Seward
JB
Cardiac papillary fibroelastomas: two-dimensional echocardiographic recognition . Mayo Clin Proc
1981 ; 56 : 629 –33 .
14.
Butterworth
JS
,
Poindexter
CA
. Papilloma of cusp of the aortic valve: report of a patient with sudden death . Circulation
1973 ; 48 : 213 –15 .
15.
Harris
LS
,
Adelson
L.
Fatal coronary embolism from a myxomatous polyp of the aortic valve: an unusual cause of death . Am J Clin Pathol
1965 ; 43 : 61 –4 .
16.
Rona
G
,
Feeney
N
,
Kahn
DS
. Fibroelastic hamartoma of the aortic valve producing ischemic heart disease: associated pulmonary glomus bodies . Am J Cardiol
1963 ; 12 : 869 –74 .
17.
Fowles
RE
,
Miller
DC
,
Egbert
BM
,
Fitzgerald
JW
,
Popp
RL
. Systemic embolization from a mitral valve papillary endocardial fibroma detected by two-dimensional echocardiography . Am Heart J
1981 ; 102 : 128 –30 .
18.
Topol
EJ
,
Biern
RO
,
Reitz
BA
. Cardiac papillary fibroelastoma and stroke: echocardiographic diagnosis and guide to excision . Am J Med
1986 ; 80 : 129 –32 .
19.
McFadden
PM
,
Lacy
JR
. Intracardiac papillary fibroelastoma: an occult cause of embolic neurologic deficit . Ann Thorac Surg
1987 ; 43 : 6679 .
