eng Science and Education Publishing American Journal of Medical Case Reports 2014-05-19 2 5 94 96 10.12691/ajmcr-2-5-1 AJMCR2014251 article Gaurav Khandelwal gauravshri1231@yahoo.com 1 Manish Ruhela 1 Rajeev Bagarhatta 1 Senior Resident, Department of Cardiology, SMS Medical College and Hospital, Jaipur, Rajasthan, India A 45 yr old female presented with clinical features of right side heart failure. 2D Echocardiography examination showed a homogenous, irregular, fimbriated mass attached to pulmonary valve, causing right ventricular outflow obstruction, with severe tricuspid regurgitation. To the best of our knowledge, this is the first case report of pulmonary valve mass, possible papillary fibroelastoma, which is large enough to cause right ventricular outflow obstruction, leading to severe tricuspid regurgitation and right sided heart failure. http://pubs.sciepub.com/ajmcr/2/5/1/ajmcr-2-5-1.pdf pulmonary valve mass right sided heart failure