Wh. Schuetz et al., A SYMPTOMATIC PAPILLARY FIBROELASTOMA OF THE LEFT-VENTRICLE REMOVED WITH THE AID OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY, The thoracic and cardiovascular surgeon, 41(4), 1993, pp. 258-260
A papillary fibroelastoma, causing amaurosis fugax and paresis of the
right arm, was detected by echocardiography as a free floating mass in
the left-ventricular outflow tract. Based on the exact localization o
f the tumor by intraoperative transespphageal echocardiography the ini
tial indication for ventriculotomy was disregarded and an atraumatic t
ransvalvular approach was chosen.