A 50-year old woman with a long-standing history of palpitations was f
ound by echocardiography to have a 1.5 cm mass on the atrial surface o
f the anterior leaflet of the tricuspid valve. Surgical excision inclu
ded a portion of surrounding leaflet tissue. The tumour was a papillar
y fibroelastoma. She remained asymptomatic with no recurrence in follo
w-up.