Papillary fibroelastoma is among the rare benign cardiac tumours. As long as they do not cause cardiac deformity or embolism, patients can be followed for many years without treatment. Papillary fibroelastomas, that usually follow an asymptomatic course, carry a systemic or pulmonary embolism risk. Fibroelastomas need to be removed, when they cause problems such as heart valve problems or embolism, or in patients who will undergo open heart surgery for any other reason although they are benign pathologies. In this report we present a surgical treatment of a papillary fibroelastoma arising from mitral valve anterior leaflet papillary muscle chordae. The patient was asymptomatic for 20 years and when coronary artery bypass grafting was needed due to ischemic heart disease, fibroelastoma was removed as a concomitant procedure.