Papillary Fibroelastoma of the Papillary Muscle of the Tricuspid Valve: Reconstruction of the Papillary Muscle*


Cardiac papillary fibroelastoma is the third most frequent primary cardiac tumor, after myxoma and fibroma. A papillary fibroelastoma that arises from the papillary muscle is rare. We removed a papillary fibroelastoma located at the anterior papillary muscle of the tricuspid valve. The papillary muscle needed reconstruction. We used the loop technique to adjust the length of the papillary muscle and performed annuloplasty by using an artificial ring.

Share and Cite:

S. Isoda, T. Kimura, K. Nishimura, N. Yamanaka, S. Nakamura and T. Maehara, "Papillary Fibroelastoma of the Papillary Muscle of the Tricuspid Valve: Reconstruction of the Papillary Muscle*," Open Journal of Thoracic Surgery, Vol. 3 No. 3, 2013, pp. 69-72. doi: 10.4236/ojts.2013.33014.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] S. K. Neerkonda, R. D. Jantz, N. Vijay, J. A. Narrod and F. W. Schoonmaker, “Pulmonary Embolization of Papillary Fibroelastoma, Arising from the Tricuspid Valve,” Texas Heart Institute Journal, Vol. 18, No. 2, 1991, pp. 132-135.
[2] L. Massarenti, F. Benassi, A. Gallerano and G. Stefanelli, “Papillary Fibroelastoma of Tricuspid Anterior Leaflet,” Journal of Cardiovascular Medicine, Vol. 10, No. 12, 2009, pp. 933-935. doi:10.2459/JCM.0b013e32832fa0d1
[3] H. Fumoto, M. Yoshikai, H. Ohnishi and A. Furutachi, “Papillary Fibroelastoma of the Tricuspid Valve,” Japanese Journal of Thoracic and Cardiovascular Surgery, Vol. 52, No. 11, 2004, pp. 538-541. doi:10.1007/s11748-004-0007-1
[4] G. T. Karapanagiotidis, N. Lees, P. Howlett, M. Zakkar and M. Sarsam, “Tricuspid Valve Papillary Fibroelastome: An Unusual Case of Dizzy Spells,” Perfusion, Vol. 27, No. 2, 2012, pp. 156-159. doi:10.1177/0267659111431124
[5] T. Watanabe, N. Oshima, N. Shirai and Y. Someya, “Papillary Fibroelastoma of the Tricuspid Valve with Mitral Regurgitation,” Kyobu Geka, Vol. 63, No. 12, 2010, pp. 1053-1056.
[6] D. L. Ngaage, C. J. Mullany, R. C. Daly, J. A. Dearani, W. D. Edwards, H. A. Tazelaar, et al., “Surgical Treatment of Cardiac Papillary Fibroelastoma: A Single Center Experience with Eighty-Eight Patients,” The Annals of Thoracic Surgery, Vol. 80, No. 5, 2005, pp. 1712-1718. doi:10.1016/j.athoracsur.2005.04.030
[7] M. M. Anastacio, M. R. Moon, R. J. Damiano Jr., M. K. Pasque, H. S. Maniar and J. S. Lawton, “Surgical Experience with Cardiac Papillary Fibroelastoma over a 15-Year Period,” The Annals of Thoracic Surgery, Vol. 94, No. 2, 2012, pp. 537-541. doi:10.1016/j.athoracsur.2012.04.006
[8] K. Haruzawa, M. Kitamura and A. Morishita, “Two Cases of Postoperative Recurrence of Papillary Fibroelastoma,” Circulation Journal, Vol. 67, No. 3, 2003, p. 926.
[9] K. Reynen, “Frequency of Primary Tumors of the Heart,” American Journal of Cardiology, Vol. 77, No. 1, 1996, p. 107. doi:10.1016/S0002-9149(97)89149-7
[10] H. D. Tazelaar, T. J. Locke and C. G. A. McGregor, “Pathology of Surgically Excised Primary Cardiac Tumors,” Mayo Clinic Proceedings, Vol. 67, No. 10, 1992, pp. 957-965. doi:10.1016/S0025-6196(12)60926-4
[11] F. H. Edwards, D. Hale, A. Cohen, L. Thompson, A. T. Pezzella and R. Virmani, “Primary Cardiac Valve Tumors,” The Annals of Thoracic Surgery, Vol. 52, No. 5, 1991, pp. 1127-1131.
[12] R. M. Gowda, I. A. Khan, C. K. Nair, N. J. Mehta, B. C. Vasavada and T. J. Sacchi, “Cardiac Papillary Fibroelastome: A Comprehensive Analysis of 752 Cases,” American Heart Journal, Vol. 146, No. 3, 2003, pp. 404-410. doi:10.1016/S0002-8703(03)00249-7
[13] R. A. Howard, G. S. Aldea, O. M. Shapira, J. M. Kaznica and R. Davidoff, “Papillary Fibroelastoma: Increasing Recognition of a Surgical Disease,” The Annals of Thoracic Surgery, Vol. 68, No. 5, 1999, pp. 1881-1885. doi:10.1016/S0003-4975(99)00860-7
[14] R. Fasol, F. Lakew and S. Wetter, “Mitral Repair in Patients with a Ruptured Papillary Muscle,” American Heart Journal, Vol. 139, No. 3, 2000, pp. 549-554. doi:10.1016/S0002-8703(00)90101-7
[15] T. E. David, J. Bos and H. Rakowski, “Mitral Valve Repair by Replacement of Chordae Tendinae with Polytetra-fluoroethylene Sutures,” Journal of Thoracic and Cardiovascular Surgery, Vol. 101, No. 3, 1991, pp. 495-501.
[16] U. O. Von Oppell and F. W. Mohr, “Chordal Replacement for Both Minimally Invasive and Conventional Mitral Valve Surgery Using Gore-Tex Loops,” The Annals of Thoracic Surgery, Vol. 70, No. 6, 2000, pp. 2166-2168. doi:10.1016/S0003-4975(00)02047-6
[17] M. Kudo, R. Yozu, K. Kokaji and S. Iwanaa, “Feasibility of Mitral Valve Repair Using the Loop Technique,” Annals of Thoracic and Cardiovascular Surgery, Vol. 13, No. 1, 2007, pp. 21-26.

Copyright © 2022 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.