[Aortic valve papillary fibroelastoma; report of a case]

Papillary fibroelastoma is a rare cardiac tumor. We report a case of surgical treatment for aortic valve papillary fibroelastoma. The patient was a 64-year-old female. She admitted our hospital for the evaluation of cardiogenic cerebral infarction. The echocardiogram revealed a mobile rounded mass (10 x 6 mm) of the aortic valve and aortic regurgitation. On the basis of these echo findings, we performed operation. Under cardiopulmonary bypass, aortotomy was made and aortic valve was observed. A tumor was on the non-coronary-cusp of the aortic valve, which was successfully removed followed by aortic valve replacement with 21 A Carpentier-Edwards bio-prosthetic valve. The tumor was histologically diagnosed papillary fibroelastoma. Following uncomplicated postoperative course, the patient was discharged on twenty-first postoperative day.