Conclusions
PFE is a rare diagnosis. Symptomatic patients should be offered surgical resection. Conservative management of small tumors should be pursued cautiously. Surgical resection should involve adherence to standard cardiac surgical principles and performance of the operation with which the surgeon has the greatest comfort. Concomitant cardiac disease should be addressed at the time of surgery. Complete tumor excision is required to reduce embolic and recurrence risk. Recurrent disease should be dealt with promptly and thoughtfully.29