title: Papillary fibroelastoma of the aortic valve presenting with myocardial infarction.
abstract: We describe the case of a 56-year-old woman who presented with myocardial infarction. Noninvasive and invasive investigations revealed coronary embolism from a papillary tumor attached to the right coronary cusp of the aortic valve as the underlying process. The tumor, which histologically proved to be a papillary fibroelastoma, was excised surgically and the resulting defect in the aortic valve leaflet was closed with a patch of autologous pericardium, effectively reconstructing the aortic valve. The current literature on intracardiac papillary fibroelastoma as a source of embolism and its surgical treatment is summarized.
authors.affiliation: Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Germany.
authors.forename: F S
authors.initials: FS
authors.lastname: Eckstein
authors.forename: H J
authors.initials: HJ
authors.lastname: Schäfers
authors.forename: J
authors.initials: J
authors.lastname: Grote
authors.forename: A
authors.initials: A
authors.lastname: Mügge
authors.forename: H G
authors.initials: HG
authors.lastname: Borst
mesh_terms: D001021:Aortic Valve; D005260:Female; D005350:Fibroma / Q000150:complications* / Q000601:surgery; D006338:Heart Neoplasms / Q000150:complications* / Q000601:surgery; D006349:Heart Valve Diseases / Q000150:complications / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*