A rare localization of papillary fibroelastoma

Papillary fibroelastoma is a benign cardiac tumor, generally small and with papillary fronds, third in frequency after cardiac myxoma and lipoma, with a prevalence of about 10% of all cardiac tumors [1, 2]. Its localization, similarly to other benign cardiac tumors, prefers the endothelium of the valve leaflets, most commonly the aortic valve (44% to 59%), less frequently the mitral (13% to 35%) and tricuspid (4% to 15%) valves [3–5]. It is discovered occasionally or following symptoms due to systemic or coronary embolization. Symptoms due to obstruction of the ventricular flow tract are rare. Surgical excision is curative and its recurrence rare if the resection of margins are disease-free.