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

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 x 15 rum 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)