Introduction. Primary tumors of the heart are rare, usually benign and occur
mostly in adults, and usually originate from the endocardium, followed by the
myocardium and rarest of the pericardium. Papillary fibroelastoma accounts
for less than 10% of all cardiac tumors, but they are most common valvular
tumors. The clinical presentation of papillary fibroelastoma varies from
asymptomatic cases to cases which have severe clinical presentation that is
most likely due to embolic complications. Tumor can usually be discovered by
echocardiography or during autopsy. Case report. We reported a case of 53-
year-old man submitted to routine echocardiographic examination. The patient
had the history of hypertension for five years, without any other symptoms.
Echocardiography found a round tumor attached to the noncoronary cuspis of
the aortic valve. The tumor was surgically removed and pathohistological
examination confirmed diagnosis of papillary fibroelastoma. After surgery the
patient fully recovered without tumor recurrence or aortic regurgitation.
Conclusion. Histologically, papilary fibroelastoma is benign tumor of the
heart. As demonstrated in this case, a papillary fibroelastoma can be an
incidental finding discovered during echocardiography in patients with the
history of hypertension.
Incidental finding of a papillary fibroelastoma on the aortic valve in 16 slice multi-detector row computed tomography
