Papillary fibroelastoma (PFE) is the second most common benign primary cardiac tumor. The clinical spectrum of PFE ranges widely from asymptomatic to life‑threatening thromboembolic complications. We herein report a case of a 59‑year‑old woman presenting with an incidentally found aortic valve tumor
treated with valve‑sparing surgical excision. There is no guideline for the management of PFE, but surgical excision is generally suggested for left‑sided PFE.