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European Journal of Echocardiography Advance Access published online on May 20, 2008
European Journal of Echocardiography, doi:10.1093/ejechocard/jen171
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Incidental finding of a papillary fibroelastoma of the mitral valve chordae

Sherif Moustafa1, Claude Sauvé1, Pierre Pagé2 and Karim Serri1,*

1 Division of Cardiology, Hôpital du Sacré-Coeur de Montréal, University of Montreal, 5400 Boul. Gouin W, Montreal, Quebec, Canada H4J 1C5
2 Division of Cardiac Surgery, Hôpital du Sacré-Coeur de Montréal, University of Montreal, Montreal, Quebec, Canada H4J 1C5

Received 19 March 2008; accepted after revision 26 April 2008.

* Corresponding author. Tel: +1 514 338 2222 ext 2200; fax: +1 514 338 2381. E-mail address: karimserri{at}hotmail.com


  Abstract

Cardiac papillary fibroelastoma (CPF) is a rare neoplasm with predilection for heart valves, usually found incidentally on routine echocardiography. Most CPFs are asymptomatic; rarely, they are diagnosed because of cardiac symptoms or after an embolic event. This report describes the case of a 69-year-old woman with the incidental finding of a mass attached to the anterior mitral valve chordae. Owing to the risk of embolic complications, surgery was emergently performed with complete resection of the mass and preservation of the mitral valve. Histological evaluation confirmed the diagnosis of CPF.

Keywords: Echocardiography; Papillary fibroelastoma; Mitral valve chordae; Surgery


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