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Removal of a ventricular mitral valve fibroelastoma by an aortic approach

^a Department of Thoracic and Cardiovascular Surgery, Dupuytren University Medical Hospital, 2 Av. M. L. King, 87042 University of Limoges, France
^b Department of Cardiology, Dupuytren University Medical Hospital, University of Limoges, France

*Corresponding author. Tel.: +33 5 55 05 63 71; fax: +33 5 55 05 63 84.

E-mail address: a.leguyader{at}libertysurf.fr (A. Le Guyader).

Cardiac papillary fibroelastomas are rare neoplasms usually incidentally found by echocardiography for unrelated problems. Otherwise they could be diagnosed following cardiac symptoms or after an embolic complication. The treatment is only surgical, whatever their size, to prevent any complications. A patient is described who presented acute psychiatric symptoms as a consequence of cerebral embolism of a mitral valve papillary fibroelastoma. The surgical excision was performed through an aortotomy with videoscopy used to help exposure and removal.

Key Words: Valve disease; Tumor; Mitral valve repair

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