Papillary fibroelastoma of the right atrium as an unusual source of recurrent pulmonary embolism.

Papillary fibroelastoma is the most common primary tumour of cardiac valves, with the potential for embolic events and obstructive effects. Location in non-valvular endocardium is extremely rare. Transthoracic and transoesophageal echocardiography have greatly increased the ability to make the diagnosis of these surgically treatable tumours in a timely fashion.

Conservative treatment of postoperative chylothorax with octreotide.

Chylothorax is a rare but serious and well-recognized complication of general thoracic and cardiac procedures. No new invasive or non-invasive definitive therapies are available. This article reports the case of a 67-year-old woman who underwent myocardial revascularization and who developed a postoperative chylothorax necessitating continuous drainage and conservative management.