Radical and harmless shave resection of atypical papillary fibroelastomas of the cardiac valves.

BACKGROUND Papillary fibroelastomas (PFEs) are rare cardiac tumors usually treated by shave resection. Up to 20% of the patients are actually denied such a conservative surgical approach because atypical morphology is thought to preclude radical and effective outcomes. METHODS/RESULTS Surgical tricks and tips of shave resection are elucidated, and a case series presentation of the morphology of atypical PFEs treated by shave resection is described. CONCLUSION In experienced hands surgical shave resection is the gold standard for the treatment of PFE even in atypical presentations.