[Mitral valve papillary fibroelastoma; report of a case].

A 65-year-old woman was admitted to our hospital with a diagnosis of cerebral infarction. She had incomplete paralysis of the right upper extremity. The echocardiogram showed a soft, mobile mass on the atrial side of the mitral posterior leaflet. Surgical treatment was performed 3 weeks after the episode of cerebral infarction. The mass originated from the P1 portion of the posterior leaflet. It was soft and fragile and was carefully resected along with the endocardium of the leaflet, from which it arose. The leaflet was reconstructed with direct 6-0 proline sutures. There was no mitral insufficiency. The histological diagnosis was a papillary fibroelastoma of the mitral valve. The postoperative course was uneventful, with no neurologic complications.