Anesthetic Management of the Excision of Left Ventricular Papillary Fibroelastoma : A case report

Kim, Eun Sung; Jeon, Joon Pyo; Ryu, Keon Hee

Case Report

Cardiothoracic and Vascular Anesthesia

Anesthesia and Pain Medicine 2008;3(2):131-133.
Published online April 30, 2008.

Anesthetic Management of the Excision of Left Ventricular Papillary Fibroelastoma : A case report

Eun Sung Kim, Joon Pyo Jeon, Keon Hee Ryu

Department of Anesthesiology and Pain Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. anejjp@catholic.ac.kr

Abstract

We present a rare case of movable mass which attached to chordae and papillary muscle of anterior leaflet of mitral valve in left ventricle discovered preoperative echocardiography. The mass had risks of mechanical obstruction and hemodynamic instability. The patient underwent excision of mass and mitral valve replacement. The diagnosis of papillary fibroelastoma was confirmed by histologic examination. The surgery was done without any complications by safe and cautious anesthetic management without any complications.

Key Words: cardiac neoplasm, embolism, papillary fibroelastoma