This report documents an extremely rare case of a mitral valve papillary fibroelastoma associated with rheumatic mitral stenosis, successfully treated with surgical intervention.
Supports surgical excision in rare fibroelastoma with rheumatic stenosis; leaves open questions on natural history and alternatives.
Papillary fibroelastoma of the mitral valve diagnosed and treated in life is extremely rare. There have been eight cases documented so far. We report the first case of a mitral valve papillary fibroelastoma associated with severe rheumatic mitral stenosis and tricuspid regurgitation with stenosis. The tumor arose from the posteromedial papillary muscle of the mitral valve. The mitral valve was replaced after excising the valve with the tumor and the tricuspid valve was repaired. The patient did well and remains asymptomatic.
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Bedi et al. (1995) studied this question.
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