There is general agreement that left-sided elastomas must be removed t
o avoid systemic complications. Right-sided localization is less risky
and surgical treatment is not agreed upon. We report a case of surgic
al resected fibroelastoma of the tricuspid valve and discuss the indic
ations to surgery by reviewing the literature on the few reported ease
s. We feel that, if surgery is timely, the tumor can be resected, thus
preserving the native valve. This provides an opportunity to prevent
possible right-sided complications due to increasing tumor size and em
bolization.