Papillary fibroelastoma of the heart: Report of two cases and review of the literature

Papillary fibroelastoma is the most common primary cardiac valvular tumor. Historically, papillary fibroelastoma was an incidental autopsy finding, de emed to have no clinical significance. More recently, reports of symptomati c cases of papillary fibroelastoma with complications such as myocardial in farction and stroke have led papillary fibroelastoma to be considered a pot entially dangerous lesion. We report 2 cases of symptomatic papillary fibro elastoma, both of which presented with a stroke. Both patients underwent un eventful open-heart surgery. The literature is reviewed, with a compilation of 79 cases.