Cardiac papillary fibroelastoma rarely occurs. A 63-year-old otherwise healthy man presented with sudden loss of consciousness and right hemiparesis. Echocardiography showed a small freely movable round mass attached to the septal side of the left ventricular outflow tract. At surgery, it was revealed to be a small round mass with a thin elongated stalk resembling a cherry. The pathologic findings were characteristics of a papillary fibroelastoma.