Papillary fibroelastoma is a small and rare benign intracardiac tumor that
most frequently arises from the valvular endocardium. We report a patient w
ith acute myocardial infarction in whom a papillary fibroelastoma in the le
ft atrial appendage was detected by a transesophageal echocardiography duri
ng evaluation of the myocardial infarction. The roles of transesophageal ec
hocardiography and surgical intervention are discussed. (C) 2000 by The Soc
iety of Thoracic Surgeons.