[A case report of surgical treatment for aortic valve papillary fibroelastoma]

A 71-year-old woman was referred to our hospital for aortic valve replacement because of the vegetation of aortic valve. She had transient right arm weakness and aphasia in November 1991. On two-dimensional echocardiogram, she was found to have a mobile, pedunculated mass attached to the non-coronary cusp of the aortic valve. At operation, multiple frond-like tumor measuring 7*7 mm was found attached to the free-edge of the non-coronary cusp of the aortic valve. The aortic valve with this tumor was excised and replaced with a 21-mm Carpentier-Edwards prosthesis. Microscopic sections revealed the typical findings of a papillary fibroelastoma. The patient's postoperative course was unremarkable.