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